Organization · Type 2 NPI

Blue Water Asc LLC

Ambulatory Surgical Clinic/Center · Port Huron, MI

NPI number 1720023690 Active

Practice location

920 River Centre Dr
Port Huron, MI 48060-4463

Call (810) 984-5200 Map

Fax (810) 985-5050

Mailing address

1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	74-6817 (MI)

Ambulatory Surgical Clinic/Center: Definition to come...

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NPI record

NPI: 1720023690
Entity type: Organization (Type 2)
Issued: Jun 17, 2006
Last updated: Sep 23, 2025
Status: Active

Other names

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Blue Water Surgery Center, LLC · doing business as
Blue Water Surgery Center, LLC · doing business as

Authorized official

Mr. Jeffrey Snodgrass
President
(615) 665-1283

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720023690

Blue Water Asc LLC's National Provider Identifier is 1720023690, issued on Jun 17, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Port Huron, MI. The record was last updated on Sep 23, 2025.