GREEN BAY SURGICAL CENTER – NPI #1194822411
Clinic/Center

GREEN BAY SURGICAL CENTER is an AHC clinic located in GREEN BAY, WI. NPPES has assigned the NPI number 1194822411 to GREEN BAY SURGICAL CENTER on September 20, 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 6 years ago on Aug 22, 2020. 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 GREEN BAY SURGICAL CENTER below.

NPI Profile for
GREEN BAY SURGICAL CENTER

NPI Number
1194822411
Enumeration Date

(more than 19 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
GREEN BAY SURGICAL CENTER
Primary location
704 S WEBSTER AVE
GREEN BAY, WI 54301
Phone: (920) 432-7433 Fax: (920) 432-8752
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN BARTEL
MANAGER
Phone: (920) 432-7433
Updated
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)

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.