MEDICARE: NURA SURGICAL CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1164852455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURA SURGICAL CENTER LLC

Provider Business Mailing Address
First Line	:	2104 NORTHDALE BLVD NW STE 220
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55433-3046
Country	:	US
Telephone Number	:	763-537-6000
Fax Number	:	763-537-6666

Provider Business Practice Location Address
First Line	:	7400 FRANCE AVE S
Second Line	:	SUITE 102
City	:	EDINA
State	:	MN
Zip	:	55435
Country	:	US
Telephone Number	:	763-537-6000
Fax Number	:	763-537-6666

Authorized Official
Title or Position	:	CEO
Name	:	SANDFORD MATTHEW SCHOCKET
Credential	:
Telephone Number	:	763-537-6000

Provider Enumeration Date	:	11/22/2013
Last Update Date	:	04/13/2026

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