SOUTHHEALTH ASC, LLC (NPI# 1154840064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154840064 |
Entity Type | Organization |
Organization Name | SOUTHHEALTH ASC, LLC |
Other Organization Name | EDINA SPECIALTY SURGERY CENTER |
Practice Address |
4100 Minnesota Drive Edina MN 55435 |
Mailing Address |
4200 Dahlberg Dr Golden Valley MN 55422-4840 |
Practice Telephone | 7633022800 |
Enumeration Date | 2017-09-12 |
Last Update Date | 2018-12-27 |
Authorized Official Name | MISS KATIE KENSY (PROJECT MANAGER) |
Authorized Official Telephone | 6514978819 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Edina Specialty Surgery Center | Doing Business As Name - Organization |
Street Address |
4100 MINNESOTA DRIVE |
City | EDINA |
State | MN |
Zip Code | 55435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
1578921268 | Hanna Marekegn | Non-emergency Medical Transport (VAN) | 4100 Parklawn Ave #104, Edina, MN 55435 | 2016-02-09 |
Find all providers in zip 55435 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410368 | Inspired Spine Surgcenter LLC | Clinic/Center | 7400 France Ave S Ste 102, Edina, MN 55435-4738 | 2020-09-03 |
1154718070 | Fertility Lab Sciences of Minneapolis, LLC | Clinic/Center | 6565 France Avenue South, Edina, MN 55435 | 2015-04-17 |
1629175617 | Zel Skin & Laser Specialists, LLC | Clinic/Center | 4100 W 50th St, Edina, MN 55424-1200 | 2006-09-20 |
1760419618 | Minneapolis Endoscopy Center Asc LLC | Clinic/Center | 7600 Parklawn Avenue, Edina, MN 55435 | 2006-06-27 |
1437123270 | Edina Mn Ophthalmology Asc LLC | Clinic/Center | 3124 W 70th St, Edina, MN 55435-4227 | 2006-02-16 |
1740252634 | Minneapolis Endoscopy Asc LLC | Clinic/Center | 7600 Parklawn South, Suite 108, Edina, MN 55435 | 2006-02-03 |
1932724283 | Twin Cities Surgery Center, Pa | Clinic/Center | 7211 Ohms Ln, Edina, MN 55439-2148 | 2020-06-12 |
1790145480 | Twin Cities Surgery Center | Clinic/Center | 7211 Ohms Ln, Edina, MN 55439-2148 | 2016-02-24 |
1164852455 | Nura Surgical Center LLC | Clinic/Center | 7400 France Ave S, Suite 102, Edina, MN 55435 | 2013-11-22 |
1720398167 | Crosstown Surgery Center LLC | Clinic/Center | 4010 West 65th Street, Edina, MN 55435-1706 | 2010-10-19 |
Find all providers in EDINA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.