NPIMap

Organization Active NPI

West Michigan Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Zeeland, MI
National Provider Identifier
1568981975
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST MICHIGAN SURGICAL CENTER, LLC
Practice address
8300 Logistics Dr
Zeeland, MI 49464-9379
Phone
(616) 748-0630
Fax
(616) 748-0631
NPI assigned
Sep 18, 2017
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Heather Lepoire
Title
Business Office Manager
Phone
(616) 748-0636

Specialties & licenses 1

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

Addresses

Primary practice location

8300 Logistics Dr
Zeeland, MI 49464-9379

Mailing address

8300 Logistics Dr
Zeeland, MI 49464-9379
Phone (616) 748-0630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180205001219 MI Part B Supplier - Ambulatory Surgical Center 9436419884 Practice locations: Zeeland, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Michigan Surgical Center LLCCCN 23C0001138
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
23D2138273West Michigan Surgical Center, LLC8300 Logistics Dr, Zeeland, MI 49464Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

Locations

8300 Logistics Dr
Zeeland, MI 49464
Phone (616) 748-0630

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1568981975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 LOGISTICS DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494649379",
            "telephone_number": "616-748-0630",
            "fax_number": "616-748-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 LOGISTICS DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494649379",
            "telephone_number": "616-748-0630",
            "fax_number": "616-748-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "LEPOIRE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "616-748-0636"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.