Kenosha Surgicenter Llc

LBN: Kenosha Surgicenter Llc
Kenosha Surgicenter Llc is an health care organization with primary practice located at 10105 74Th St Ste 102 , Kenosha WI 53142-7530. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Kenosha Surgicenter Llc can be contacted via phone (262) 297-7246, or through Hooker, Kevin Eugene via phone (262) 297-7246.

Contact Information

Primary practice address
10105 74Th St Ste 102 Kenosha WI 53142-7530
Phone: (262) 297-7246
Fax: (888) 701-0578
Website:
Map and Directions
Authorized official contact:
Name: Hooker, Kevin Eugene
Phone: (262) 297-7246

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1760101992
LBN Legal business name Kenosha Surgicenter Llc
DBA Doing business as
Authorized official Hooker, Kevin Eugene
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2022
Last updated Aug 23rd, 2022 - about 2 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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