Prime Healthcare Services-Port Huron, LLC
NPI 1134586852 · Ambulatory Surgical Clinic/Center · Fort Gratiot, MI
Prime Healthcare Services-Port Huron, LLC is a Ambulatory Surgical Clinic/Center organization in Fort Gratiot, MI (NPI 1134586852).
Provider details
- NPI number
- 1134586852
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Prime Healthcare Services-Port Huron, LLC
- Organization subpart
- Yes
- Authorized official
- Christopher Doan, Chief Compliance Counsel(909) 235-4307
- License
- 746818 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lakeshore Surgery Center, LLP
Registry dates
- Enumerated
- 2016-01-26
- Last updated
- 2016-01-26
Frequently asked questions
- What is Prime Healthcare Services-Port Huron, LLC's NPI number?
- Prime Healthcare Services-Port Huron, LLC's National Provider Identifier (NPI) is 1134586852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Healthcare Services-Port Huron, LLC?
- Prime Healthcare Services-Port Huron, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prime Healthcare Services-Port Huron, LLC located?
- Prime Healthcare Services-Port Huron, LLC's practice location on file with NPPES is 4190 24th Ave, Fort Gratiot, MI 48059-3882.
- What is Prime Healthcare Services-Port Huron, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Healthcare Services-Port Huron, LLC is (810) 989-7700.
- Who is the authorized official for Prime Healthcare Services-Port Huron, LLC?
- The authorized official listed on Prime Healthcare Services-Port Huron, LLC's NPPES record is Christopher Doan, Chief Compliance Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Healthcare Services-Port Huron, LLC's NPI active?
- Yes — Prime Healthcare Services-Port Huron, LLC's NPI (1134586852) is active in the NPPES registry as of the last update on 2016-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.