Provider Demographics
NPI:1306829866
Name:SOUTHWEST SURGICAL CENTER LLC
Entity Type:Organization
Organization Name:SOUTHWEST SURGICAL CENTER LLC
Other - Org Name:ORTHOPAEDIC INSTITUTE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEICHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-914-8418
Mailing Address - Street 1:8100 W 78TH ST
Mailing Address - Street 2:STE 220
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2516
Mailing Address - Country:US
Mailing Address - Phone:952-428-5970
Mailing Address - Fax:529-444-0449
Practice Address - Street 1:8100 W 78TH ST
Practice Address - Street 2:STE 220
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2516
Practice Address - Country:US
Practice Address - Phone:952-248-5970
Practice Address - Fax:952-944-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty