Prime Healthcare Services-Port Huron, LLC
Prime Healthcare Services-Port Huron, LLC is an Ambulatory Surgical Clinic/Center in Fort Gratiot, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4190 24th AveFort Gratiot, MI 48059-3882
Phone: (810) 989-7700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 746818 (MI) |
|---|
Record details
| NPI number | 1134586852 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prime Healthcare Services-Port Huron, LLC |
| Authorized official | Christopher Doan — Chief Compliance Counsel · (909) 235-4307 |
| Other names | Lakeshore Surgery Center, Llp |
| NPI enumerated | January 26, 2016 |
| Last updated in NPPES | January 26, 2016 |
| Mailing address | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
Other providers in Fort Gratiot
-
Newco Ambulatory Surgery Center, LLP
4190 24th Ave, Fort Gratiot, MI 48059-3882 · (810) 989-7649