St. Cloud Ear, Nose & Throat - Surgical Suites LLC
NPI 1417188830 · Ambulatory Surgical Clinic/Center · Saint Cloud, MN
St. Cloud Ear, Nose & Throat - Surgical Suites LLC is a Ambulatory Surgical Clinic/Center organization in Saint Cloud, MN (NPI 1417188830).
Provider details
- NPI number
- 1417188830
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Boller, Administrator(320) 252-0233
- License
- PENDING
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
16 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
Registry dates
- Enumerated
- 2009-08-03
- Last updated
- 2009-08-03
Frequently asked questions
- What is St. Cloud Ear, Nose & Throat - Surgical Suites LLC's NPI number?
- St. Cloud Ear, Nose & Throat - Surgical Suites LLC's National Provider Identifier (NPI) is 1417188830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Cloud Ear, Nose & Throat - Surgical Suites LLC?
- St. Cloud Ear, Nose & Throat - Surgical Suites LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is St. Cloud Ear, Nose & Throat - Surgical Suites LLC located?
- St. Cloud Ear, Nose & Throat - Surgical Suites LLC's practice location on file with NPPES is 1528 Northway Dr, Saint Cloud, MN 56303-1255.
- What is St. Cloud Ear, Nose & Throat - Surgical Suites LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Cloud Ear, Nose & Throat - Surgical Suites LLC is (320) 252-0233.
- Who is the authorized official for St. Cloud Ear, Nose & Throat - Surgical Suites LLC?
- The authorized official listed on St. Cloud Ear, Nose & Throat - Surgical Suites LLC's NPPES record is Larry Boller, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Cloud Ear, Nose & Throat - Surgical Suites LLC's NPI active?
- Yes — St. Cloud Ear, Nose & Throat - Surgical Suites LLC's NPI (1417188830) is active in the NPPES registry as of the last update on 2009-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.