HIAWATHA SURGERY CENTER LLC (NPI# 1215573209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215573209 |
| Entity Type | Organization |
| Organization Name | HIAWATHA SURGERY CENTER LLC |
| Practice Address |
2020 E 28th St Ste 100 Minneapolis MN 55407-1453 |
| Mailing Address |
9205 Woodland Dr Minnetrista MN 55375-4516 |
| Practice Telephone | 6127287000 |
| Practice Fax Number | 6127282660 |
| Mailing Telephone | 7634641611 |
| Mailing Fax Number | 6127282660 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | AMISTYENE BRINCEFIELD (ADMINISTRATOR) |
| Authorized Official Telephone | 6127282668 |
| 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 |
|---|---|
| Greenway Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205102613 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 East 28th Street, Suite 100, Minneapolis, MN 55407-1453 | 2012-03-29 |
| 1902172745 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2012-03-27 |
| Street Address |
2020 E 28TH ST STE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019586 | Greenway Surgical Suites, LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2020-10-07 |
| 1902172745 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255519351 | North Star Surgical Services, LLC | Clinic/Center | 40 S. 7th St, Suite 126, Minneapolis, MN 55402-1644 | 2008-01-31 |
| 1063019586 | Greenway Surgical Suites, LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2020-10-07 |
| 1659849735 | Tria Orthopaedic Center, LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2018-11-07 |
| 1275067068 | University of Minnesota Health Clinics and Surgery Center, Inc | Clinic/Center | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2017-04-18 |
| 1972988400 | Tria Orthopaedic Center Asc LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2015-07-27 |
| 1639553779 | University of Minnesota Health Clinics and Surgery Center, Inc. | Clinic/Center | 909 Fulton St Se, Minneapolis, MN 55414-0000 | 2015-07-18 |
| 1205102613 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 East 28th Street, Suite 100, Minneapolis, MN 55407-1453 | 2012-03-29 |
| 1902172745 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2012-03-27 |
| 1215056239 | Minnesota Surgery Center, Ltd. | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2007-03-29 |
| 1083710784 | Riverside Endoscopy Center | Clinic/Center | 606 24th Ave S, Suite 800, Minneapolis, MN 55454-1455 | 2006-09-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on HIAWATHA SURGERY CENTER LLC.
| 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.