MEDICARE: SURGERY CENTER AT HEALTH PARK 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	PENDING	MI

General Provider Information

NPI Number	:	1396793790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGERY CENTER AT HEALTH PARK LLC

Provider Business Mailing Address
First Line	:	600 HEALTH PARK BLVD STE A
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2558
Country	:	US
Telephone Number	:	810-603-8233
Fax Number	:	810-603-8214

Provider Business Practice Location Address
First Line	:	600 HEALTH PARK BLVD
Second Line	:	SUITE A
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2558
Country	:	US
Telephone Number	:	810-603-8201
Fax Number	:	810-603-8214

Authorized Official
Title or Position	:	VP
Name	:	MRS. WENDY STARK-RIEMER
Credential	:
Telephone Number	:	615-656-0917

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/08/2025

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Directions to “SURGERY CENTER AT HEALTH PARK LLC ” Practice Location

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