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CAPITAL HEALTHCARE LLC NPI 1518211440


NPI Information

NPI: 1518211440
Provider Name: CAPITAL HEALTHCARE LLC

Doing Business As: CAPITAL SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2132310

Address:
2700 S ROCHESTER RD
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 212-0777
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CAPITAL HEALTHCARE LLC is an ambulatory surgical clinic center in Rochester Hills, MI. CAPITAL HEALTHCARE LLC NPI is 1518211440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Capital Surgery Center.

The provider's business location address is:

2700 S ROCHESTER RD
ROCHESTER HILLS, MI
ZIP 48307-547
Phone: (248) 212-0777
Fax: (248) 575-4144

The provider's authorized official is Usama Gabr .
The authorized official title is Ceo and has the following contact phone number (248) 212-0777.

The CLIA number assigned to this NPI record is 23D2132310 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 6/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological Surgery4301102325MICHIGANNo
2208VP0000XPain MedicinePain Medicine4301102325MICHIGANNo
3261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP4958MEDICAIDSOUTH CAROLINA
2282287MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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