NA
NEWCO AMBULATORY SURGERY CENTER, LLP
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
FORT GRATIOT, MI
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1629079611
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients572
RevalidationDue 2023-09-30
Authorized official
NameTIMOTHY CONNELL
TitleADMINISTRATOR
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