SUMMIT SURGERY CENTER LLC NPI 1770676447

NPI Information

NPI: 1770676447
Provider Name: SUMMIT SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 27D0982835

Address:
434 SOUTH CLARK ST.
BUTTE, MT
ZIP 59701
Phone: (406) 496-3550
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SUMMIT SURGERY CENTER LLC is an ambulatory surgical clinic center in Butte, MT. SUMMIT SURGERY CENTER LLC NPI is 1770676447. The provider is registered as an organization entity type.

The provider's business location address is:

434 SOUTH CLARK ST.
BUTTE, MT
ZIP 59701-836
Phone: (406) 496-3550
Fax: (406) 496-3575

The provider's authorized official is Georgann K Haeffner .
The authorized official title is Administrator and has the following contact phone number (406) 496-3550.

The CLIA number assigned to this NPI record is 27D0982835 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/30/2022.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	490004966	OTHER	MONTANA	RAILROAD MEDICARE MT
2	0351067	MEDICAID	MONTANA
3	0060582	OTHER	MONTANA	BCBS OF MONTANA
4	0536068	OTHER	MONTANA	TRICARE/CHAMPUS

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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