Southeast Wisconsin Surgery Center Llc
LBN: Southeast Wisconsin Surgery Center Llc
Southeast Wisconsin Surgery Center Llc is an health care organization with primary practice located at 3801 Washington Ave , Racine WI 53405-2853. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Southeast Wisconsin Surgery Center Llc can be contacted via phone (414) 949-1938, or through Lisle, Chelsie via phone (402) 631-8892.
Contact Information
Primary practice address
3801 Washington Ave
Racine WI 53405-2853
Phone: (414) 949-1938
Fax:
Website:
Authorized official contact:
Name: Lisle, Chelsie Certified Registered Nurse Anesthetist (CRNA)
Phone: (402) 631-8892
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X |
Profile Details
| NPI number | 1619611142 |
|---|---|
| LBN Legal business name | Southeast Wisconsin Surgery Center Llc |
| DBA Doing business as | |
| Authorized official | Lisle, Chelsie Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2022 |
| Last updated | Aug 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619611142 | NPPES |
| Wisconsin | MEDICAID | 1043820442 | |
| Wisconsin | MEDICAID | 1447319496 |
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