Provider Demographics
NPI:1902805278
Name:EAST METRO ASC LLC
Entity Type:Organization
Organization Name:EAST METRO ASC LLC
Other - Org Name:HIGH POINTE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-702-7400
Mailing Address - Street 1:8650 HUDSON BLVD N
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-8448
Mailing Address - Country:US
Mailing Address - Phone:651-702-7400
Mailing Address - Fax:651-702-7414
Practice Address - Street 1:8650 HUDSON BLVD N
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-8448
Practice Address - Country:US
Practice Address - Phone:651-702-7400
Practice Address - Fax:651-702-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN327374261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
60029OtherCHOICE PLUS
F832674OtherARAZ
01018592OtherPREFERED ONE
125683OtherUCARE MINN
6Y86HIOtherATRIUM 220G
138945900OtherUS DEPT OF LABOR
41910100OtherWISCONSIN MEDICAL ASST
60029OtherHEALTHPARTNERS
6800034OtherMEDICA
6Y86HIOtherBCBS 220 G
1720088OtherFIRST HEALTH
6Y86HIOtherHEALTH & WELFARE FUND
=========OtherTRICARE WEST
125683OtherUCARE MINN