Ambulatory Surgery Associates, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Battle Creek, MI
NPI 1124125331 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1124125331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- AMBULATORY SURGERY ASSOCIATES, LLC
- Practice address
- 3600 Capital Ave SW
Suite 101
Battle Creek, MI 49015-9393 - Phone
- (269) 979-2490
- Fax
- (269) 979-2690
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Joseph E Burkhardt
- Title
- Board Member
- Phone
- (269) 979-2490
Member of 1
Practitioners 3
-
James G Alday, CRNA
-
Christopher Herrick, CRNA
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Brookside Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0930954 | Brookside Surgery Center | Certificate of waiver | Jul 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100315000073 | MI | Part B Supplier - Ambulatory Surgical Center | 8123153384 | Practice locations: Battle Creek, MI |
National Provider Directory
Locations
3600 Capital Ave SW
Ste 101
Battle Creek, MI 49015
Phone (269) 979-2490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
3600 Capital Ave SW
Suite 101
Battle Creek, MI 49015-9393
Mailing address
3600 Capital Ave SW
Suite 101
Battle Creek, MI 49015-9393
Phone (269) 979-2490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40367 | Other | MI | BX FACILITY NUMBER |
Other names
- BROOKSIDE SURGERY CENTER
Other providers in Battle Creek, MI
- Coral I Alvarez
- Marcia Diane Alvarez
- Sariem Am
- Lori Lee Ambler
- Robert John Ambler
- Corbett Walter Amburgey
- America'S Best Contacts & Eyeglasses
- Stephen Earl Ames
- Kathryn Amor
- Anne Ampey
All providers in Battle Creek, MI · Ambulatory Surgical Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.