South Central Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH CENTRAL SURGICAL CENTER, LLC

Practice address

717 S State St
Suite 1000
Fairmont, MN 56031-4469

Phone

(507) 235-3939

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Linda Lynn Thompson

Title

Revenue Cycle Manager

Phone

(307) 277-9668

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Center for Specialty Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

South Central Surgical Center LLCCCN 24C0001029

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Fairmont Orthopedics & Sports Medicine, PA

  • Specialist
  • Fairmont, MN
  • NPI 1134173644

  Member Of

  NPD member

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Michael Clere, M.D.

  • Surgery Physician
  • Minneapolis, MN
  • NPI 1700318581
  Medicare reassignment NPD
• Julie Ann Dodds, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fairmont, MN
  • NPI 1033160502
  Medicare reassignment NPD
• Corey T Welchlin, D.O.

  • Orthopaedic Surgery Physician
  • Macomb, IL
  • NPI 1649241977

  MN

  Medicare reassignment NPD
• Steven August King, DPM

  • Podiatrist
  • Rapid City, SD
  • NPI 1194747493
  NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1376501064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S STATE ST",
            "address_2": "SUITE 1000",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S STATE ST",
            "address_2": "SUITE 1000",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314469",
            "telephone_number": "507-235-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-04-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "307-277-9668"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "127628",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716185900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1022719",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C58SO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528471",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "139026400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F250619",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD",
            "identifier": "28772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SMSS PLLC
• Timothy Snelson, MD
• Sara Lorraine Snyder
• Sonny'S Taxi
• South
• Southern Plains Education Cooperative
• Carly Steier
• Kaylynn R Steinkamp, PA
• Jasmine Stephan, PHARMD
• Heidi Stevermer, C.N.P.

• Ambulatory Surgical Clinic/Center in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.