NPIMap

Organization Active NPI

Independent Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Chippewa Falls, WI
National Provider Identifier
1922316835
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INDEPENDENT SURGERY CENTER LLC
Practice address
2751 Commercial Blvd
Suite 7
Chippewa Falls, WI 54729-5079
Phone
(715) 797-8310
NPI assigned
Sep 14, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Stephanie Harvey
Title
Ceo
Phone
(715) 797-8310

Specialties & licenses 1

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

Addresses

Primary practice location

2751 Commercial Blvd
Suite 7
Chippewa Falls, WI 54729-5079

Mailing address

1115 E Lowes Creek Rd
Eau Claire, WI 54701-7439
Phone (715) 797-8310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110217000285 WI Part B Supplier - Ambulatory Surgical Center 8527249002 Receives reassigned benefits from 17 practitioners
Practice locations: Chippewa Falls, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Independent Surgery CenterCCN 52C0001093
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
52D2015502Independent Surgery Center, LLC2751 Commercial Blvd Ste 7, Chippewa Falls, WI 54729Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

2751 Commercial Blvd
Ste 7
Chippewa Fls, WI 54729
Phone (715) 738-1800

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1922316835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E LOWES CREEK RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017439",
            "telephone_number": "715-797-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 COMMERCIAL BLVD",
            "address_2": "SUITE 7",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295079",
            "telephone_number": "715-797-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-797-8310"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.