Organization Name: | PSI SURGICAL CENTER LLC |
NPI Number: | 1023058831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET S GILBERTSON (CLINIC MANAGER) |
Mailing Address: | 3280 20th St S Fargo |
State: | ND US |
Postal Code: | 581045917 |
Phone Number: | 7012937408 |
Fax Number: | 7012352099 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |