Organization
SUMMIT ORTHOPEDICS LTD
Active
Other names
DBA LANDMARK SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BECKIE HINES (DIRECTOR OF SURGERY CENTERS)
(651) 968-5438
Entity
Organization
Contact information
Practice address
7115 TAMARACK RD STE 200, WOODBURY, MN 55125-1208
(651) 968-5468
(651) 968-5492
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5201
(651) 730-3556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
375355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020718700
—
MN
01
—
44038
HEALTHPARTNERS
MN
01
—
6801127
MEDICA
MN
01
—
8A11LA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/22/2005
Last updated
06/05/2023
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