SURGICENTER OF RACINE LTD – NPI #1518957851
Clinic/Center

SURGICENTER OF RACINE LTD is an AHC clinic located in RACINE, WI. NPPES has assigned the NPI number 1518957851 to SURGICENTER OF RACINE LTD on October 27, 2005. 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 10 years ago on Nov 08, 2016. 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 SURGICENTER OF RACINE LTD below.

NPI Profile for
SURGICENTER OF RACINE LTD

NPI Number
1518957851
Enumeration Date

(more than 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
SURGICENTER OF RACINE LTD
Primary location
5802 WASHINGTON AVE
STE 204
RACINE, WI 53406-4050
Phone: (261) 886-9100 Fax: (261) 886-9130
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DENNIS KONTRA
DIRECTOR
Phone: (262) 886-9100
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.