Grand Island Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC008 Issued in NE

Legal business name

GRAND ISLAND SURGICAL CENTER LLC

Practice address

3610 Richmond Cir
Grand Island, NE 68803-3927

Phone

(308) 384-6400

Fax

(308) 398-6420

NPI assigned

May 23, 2005

Last updated

Jun 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ken Terry

Title

Administrator

Phone

(308) 384-6400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Grand Island Surgery CenterCCN 28C0001019

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Saint Francis Medical Center

  dba CHI Health St. Francis

  • Skilled Nursing Facility
  • Grand Island, NE
  • NPI 1629049614

  Member Of

  NPD member

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1316940539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5434",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025434",
            "telephone_number": "308-384-6400",
            "fax_number": "308-398-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 RICHMOND CIR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033927",
            "telephone_number": "308-384-6400",
            "fax_number": "308-398-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ISLAND SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-384-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Island Public Schools
• Grand Island Radiology Associates PC (Heartland Radiology)
• Grand Island Regional Medical Center
• Grand Island Regional Medical Center
• Grand Island Regional Medical Center
• Yudisleidis Grangel
• Frederic Masada Graves
• Heather Graves
• Jennifer Gray, PLMHP
• Sara S Graybill, M.D.

• Ambulatory Surgical Clinic/Center in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.