Organization Active NPI

Woodbury Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Woodbury, MN
National Provider Identifier
1154308880
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
375356 Issued in MN
Legal business name
WOODBURY AMBULATORY SURGERY CENTER, LLC
Practice address
8675 Valley Creek Rd Ste 300
Woodbury, MN 55125-2337
Phone
(651) 241-3450
Fax
(651) 241-3453
NPI assigned
Dec 23, 2005
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beckie Hines
Title
Director of Surgery Centers
Phone
(651) 968-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 375356 MN Primary

Addresses

Primary practice location

8675 Valley Creek Rd Ste 300
Woodbury, MN 55125-2337

Mailing address

8675 Valley Creek Rd Ste 300
Woodbury, MN 55125-2337
Phone (651) 241-3450

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1154308880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 VALLEY CREEK RD STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252337",
            "telephone_number": "651-241-3450",
            "fax_number": "651-241-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 VALLEY CREEK RD STE 300",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252337",
            "telephone_number": "651-241-3450",
            "fax_number": "651-241-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BECKIE",
        "authorized_official_title_or_position": "DIRECTOR OF SURGERY CENTERS",
        "authorized_official_telephone_number": "651-968-5438"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "375356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.