PREMIER SURGERY CENTER, LLC
NPI 1497599609
Clinic/Center - Ambulatory Surgical in Stevens Point, WI

Active since June 21, 2024
200 DIVISION ST STE H, STEVENS POINT, WI 54481(715) 544-1775(715) 544-1769 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER SURGERY CENTER, LLC (NPI 1497599609) is a healthcare organization registered as an ambulatory surgical in Stevens Point, Wisconsin and active in the NPI registry since June 2024. The organization lists Todd A Fairchild, Member, as its authorized official.

NPPES Registry Identity

NPI1497599609
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER SURGERY CENTER, LLC
Location Address200 DIVISION ST STE HStevens Point, WI 54481-1843
Mailing Address520 Vincent StStevens Point, WI 54481-1848 · (715) 544-1775 · Fax (715) 544-1769
Fax(715) 544-1769
Organization SubpartNo
Authorized OfficialTodd A FairchildMember · (715) 544-1775
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
NPI 1497599609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
200 DIVISION ST STE H, Stevens Point, WI 54481

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2308466

Premier Surgery Center LLC · Stevens Point, WI
Expired · Jul 29, 2026
CLIA Number52D2308466
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorDr. William S. Bodemer
Laboratory Phone(715) 544-1775
Laboratory LocationPremier Surgery Center LLC200 Division Street, Stevens Point, WI 54481
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Surgery Center, LLC's NPI number?

The NPI number for Premier Surgery Center, LLC is 1497599609. It was assigned to this organization in the NPPES registry on June 21, 2024.

Where is Premier Surgery Center, LLC located?

Premier Surgery Center, LLC is located at 200 Division St Ste H, Stevens Point, WI 54481. The listed phone number is (715) 544-1775.

What is Premier Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Premier Surgery Center, LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.