Organization Active NPI

Surgery Center at Health Park LLC

  • Ambulatory Surgical Clinic/Center
  • Grand Blanc, MI
National Provider Identifier
1396793790
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in MI
Legal business name
SURGERY CENTER AT HEALTH PARK LLC
Practice address
600 Health Park Blvd
Suite a
Grand Blanc, MI 48439-2558
Phone
(810) 603-8201
Fax
(810) 603-8214
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mrs. Claire Gibson
Title
Sr. Vpo
Phone
(214) 726-6042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PENDING MI Primary

Addresses

Primary practice location

600 Health Park Blvd
Suite a
Grand Blanc, MI 48439-2558

Mailing address

600 Health Park Blvd Ste a
Grand Blanc, MI 48439-2558
Phone (810) 603-8233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060818000220 MI Part B Supplier - Ambulatory Surgical Center 9537162219 Practice locations: Grand Blanc, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgery Center at Health Park LLCCCN 23C0001072
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1053006Surgery Center at Health Park600 Health Park Blvd Suite a, Grand Blanc, MI 48439Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

1954 Momentum Pl
Chicago, IL 60689

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1396793790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-603-8233",
            "fax_number": "810-603-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "address_2": "SUITE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-603-8201",
            "fax_number": "810-603-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER AT HEALTH PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "SR. VPO",
        "authorized_official_telephone_number": "214-726-6042",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.