Organization · Type 2 NPI

Mankato Surgical Center, L.l.c.

Ambulatory Surgical Clinic/Center · Mankato, MN

NPI number 1720161615 Active

Practice location

1411 Premiere Dr
Mankato, MN 56001

Fax (507) 388-6913

Specialties and licenses

Taxonomy	Code	License
Anesthesiology Physician	207L00000X	None listed
Ambulatory Surgical Clinic/Center Primary	261QA1903X	331023 (MN)
Certified Registered Nurse Anesthetist	367500000X	None listed

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

Other ambulatory surgical clinic/center providers in Mankato

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NPI record

NPI: 1720161615
Entity type: Organization (Type 2)
Issued: Oct 23, 2006
Last updated: Mar 18, 2022
Status: Active

Other names

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Mankato Surgery Center · doing business as
Mankato Surgery Center · doing business as

Authorized official

Sara L Ebert
Controller/business Office Manager
(507) 388-6000

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 1720161615

Mankato Surgical Center, L.l.c.'s National Provider Identifier is 1720161615, issued on Oct 23, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mankato, MN. The record was last updated on Mar 18, 2022.