MANKATO SURGERY CENTER – NPI #1720161615
Clinic/Center

MANKATO SURGERY CENTER is an AHC clinic located in MANKATO, MN. NPPES has assigned the NPI number 1720161615 to MANKATO SURGERY CENTER on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MANKATO SURGERY CENTER” is a dba name, the actual legal business name for this organization is MANKATO SURGICAL CENTER, L.L.C.. With multiple taxonomy codes selected, 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 4 years ago on Mar 18, 2022. 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 MANKATO SURGERY CENTER below.

NPI Profile for
MANKATO SURGICAL CENTER, L.L.C.

NPI Number
1720161615
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
MANKATO SURGICAL CENTER, L.L.C.
Doing Business As (dba): MANKATO SURGERY CENTER
Primary location
1411 PREMIERE DR
MANKATO, MN 56001
Phone: (507) 388-6000 Fax: (507) 388-6913
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARA EBERT
CONTROLLER/BUSINESS OFFICE MANAGER
Phone: (507) 388-6000
Updated
Certification Date
Mar 18, 2022

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.

Identifiers

Identifiers for MANKATO SURGERY CENTER

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS PROVIDER NUMBEFM7C61MA
OTHERHEALTH PARTNERS PROVIDERMN86783
OTHERMEDICA PROVIDER NUMBERMN6800031
OTHERPREFERRED ONE PROVIDER NUMN1031138
OTHERUCARE PROVIDER NUMBERMN170117
MEDICAIDMN163458500
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 331023
367500000X
- Nurse Anesthetist, Certified Registered
207L00000X
- Anesthesiology

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.