MNGI ENDOSCOPY ASC INC – NPI #1669496345
Clinic/Center

MNGI ENDOSCOPY ASC INC is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1669496345 to MNGI ENDOSCOPY ASC INC on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. 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 2 years ago on Apr 02, 2024. 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 MNGI ENDOSCOPY ASC INC below.

NPI Profile for
MNGI ENDOSCOPY ASC INC

NPI Number
1669496345
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
MNGI ENDOSCOPY ASC INC
Primary location
3001 BROADWAY ST NE STE 500
MINNEAPOLIS, MN 55413
Phone: (612) 871-1145 Fax: (612) 870-5491
6 Other location(s):
5705 W Old Shakopee Rd Ste 150
Bloomington, MN 55437-3126
Phone: (612) 871-1145
Fax: (612) 870-5491
9145 Springbrook Dr NW Ste 300
Coon Rapids, MN 55433-5897
Phone: (612) 871-1145
Fax: (612) 870-5491
1185 Town Centre Dr Ste 200
Eagan, MN 55123-1343
Phone: (612) 871-1145
Fax: (612) 870-5491
18465 Orchard Trl Ste 300
Lakeville, MN 55044-2522
Phone: (612) 871-1145
Fax: (612) 870-5491
15700 37th Ave N Ste 300
Plymouth, MN 55446-3661
Phone: (612) 871-1145
Fax: (612) 870-5491
237 Radio Dr Ste 200
Woodbury, MN 55125-4478
Phone: (612) 871-1145
Fax: (612) 870-5491
Mailing address
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone: (612) 871-1145 Fax: (612) 870-5491
Organization Subpart
No
Authorized Official
SCOTT KETOVER
PRESIDENT
Phone: (612) 871-1145
Updated
Certification Date
Apr 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)		 MN PENDING

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.