Healthcare Provider Details

I. General information

NPI: 1447203161
Provider Name (Legal Business Name): AMBULATORY SURGICAL CENTER OF STEVENS POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 VINCENT STREET SUITE A
STEVENS POINT WI
54481-1842
US

IV. Provider business mailing address

500 VINCENT STREET SUITE A
STEVENS POINT WI
54481-1842
US

V. Phone/Fax

Practice location:
  • Phone: 715-345-0500
  • Fax: 715-345-0400
Mailing address:
  • Phone: 715-345-0500
  • Fax: 715-345-0400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEE KHANG
Title or Position: FRONT OFFICE MANAGER
Credential:
Phone: 715-345-0500