Evanston Surgical Center Llc

LBN: Evanston Surgical Center Llc
Evanston Surgical Center Llc is an health care organization with primary practice located at 196 Arrowhead Dr Suite 8, Evanston WY 82930-8752. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Evanston Surgical Center Llc can be contacted via phone (307) 789-1390, or through O'Connor, Michael J via phone (307) 789-1390.

Contact Information

Primary practice address
196 Arrowhead Dr Suite 8 Evanston WY 82930-8752
Phone: (307) 789-1390
Fax: (307) 789-1391
Website:
Map and Directions
Authorized official contact:
Name: O'Connor, Michael J
Phone: (307) 789-1390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5079A Wyoming

Profile Details

NPI number 1003081522
LBN Legal business name Evanston Surgical Center Llc
DBA Doing business as
Authorized official O'Connor, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Oct 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003081522 NPPES
Wyoming MEDICAID 1952367450

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