MGFW SURGERY CENTER, LLC – NPI #1114950292
Clinic/Center

MGFW SURGERY CENTER, LLC is an AHC clinic located in FORT WAYNE, IN. NPPES has assigned the NPI number 1114950292 to MGFW SURGERY CENTER, LLC on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 18 years ago on Mar 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MGFW SURGERY CENTER, LLC below.

NPI Profile for
MGFW SURGERY CENTER, LLC

NPI Number
1114950292
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MGFW SURGERY CENTER, LLC
Primary location
7916 W. JEFFERSON BLVD.
STE 100
FORT WAYNE, IN 46804
Phone: (260) 432-2297 Fax: (260) 434-6420
Mailing address
PO BOX 2594
FORT WAYNE, IN 46801-2594
Phone: (260) 432-2297 Fax: (260) 434-6420
Organization Subpart
No
Authorized Official
JOEL SAUER
CEO
Phone: (260) 432-2297
Updated
Identifiers

Identifiers for MGFW SURGERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAAAHCIN68579
OTHERANTHEMIN000000372266
OTHERMEDICARE - RAILROADINP00220062
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
IN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.