UPPER MISSISSIPPI SURGERY CENTER, LLC
NPI 1952153991
Clinic/Center - Ambulatory Surgical in Hazel Green, WI

Active since April 03, 2024CLIA 52D2310009 · Waiver
454 BADGER ROAD, HAZEL GREEN, WI 53811(608) 473-1700 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upper Mississippi Surgery Center, Llc NPPES

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

UPPER MISSISSIPPI SURGERY CENTER, LLC (NPI 1952153991) is a healthcare organization registered as an ambulatory surgical in Hazel Green, Wisconsin and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Susan Gourley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952153991
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameUPPER MISSISSIPPI SURGERY CENTER, LLC
Location Address454 BADGER ROADHazel Green, WI 53811
Mailing Address454 Badger RoadHazel Green, WI 53811 · (608) 473-1700
Organization SubpartNo
Authorized OfficialSusan GourleyAdministrator · (608) 473-1700
Enumeration DateApril 3, 2024
NPPES CertifiedApril 1, 2024
NPI 1952153991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
454 BADGER ROAD, Hazel Green, WI 53811

Accepted Insurance

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 52D2310009

Upper Mississippi Surgery Center · Hazel Green, WI
Active · expires Aug 25, 2026
CLIA Number52D2310009
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorSusan M. Gourley
Laboratory Phone(608) 473-1700
Laboratory LocationUpper Mississippi Surgery Center454 Badger Road, Hazel Green, WI 53811
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 Upper Mississippi Surgery Center, LLC's NPI number?

The NPI number for Upper Mississippi Surgery Center, LLC is 1952153991. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Upper Mississippi Surgery Center, LLC located?

Upper Mississippi Surgery Center, LLC is located at 454 Badger Road, Hazel Green, WI 53811. The listed phone number is (608) 473-1700.

What is Upper Mississippi Surgery Center, LLC's specialty?

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

Does Upper Mississippi Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2310009) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upper Mississippi Surgery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and UnitedHealthcare list Upper Mississippi Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upper Mississippi Surgery Center, LLC was last updated on April 3, 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.