BLAINE ORTHOPEDIC SURGERY CENTER – NPI #1922526961
Clinic/Center

BLAINE ORTHOPEDIC SURGERY CENTER is an AHC clinic located in BLAINE, MN. NPPES has assigned the NPI number 1922526961 to BLAINE ORTHOPEDIC SURGERY CENTER on August 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLAINE ORTHOPEDIC SURGERY CENTER” is a dba name, the actual legal business name for this organization is BLAINE ASC, LLC. 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 26, 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 BLAINE ORTHOPEDIC SURGERY CENTER below.

NPI Profile for
BLAINE ASC, LLC

NPI Number
1922526961
Enumeration Date

(about 9 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
BLAINE ASC, LLC
Doing Business As (dba): BLAINE ORTHOPEDIC SURGERY CENTER
Primary location
11225 ULYSSES STREET NORTHEAST
BLAINE, MN 55434
Phone: (952) 847-4089 Fax:
Mailing address
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 55431-4442
Phone: Fax:
Organization Subpart
No
Authorized Official
CHRIS ZEIGLER
VICE PRESIDENT
Phone: (952) 456-7436
Updated
Certification Date
Apr 26, 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)

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.