Blue Water Asc LLC is a Ambulatory Surgical Clinic/Center (organization) practicing in Port Huron, Michigan. The National Provider Identifier (NPI) is #1720023690, which was assigned on June 17, 2006, and the registration record was last updated on September 23, 2025. The practitioner's main practice location is at 920 River Centre Dr, Port Huron, MI 48060-4463; the contact telephone number is 8109845200, and the fax number is 8109855050. The primary taxonomy of Blue Water Asc LLC is Ambulatory Surgical Clinic/Center (261QA1903X), with specialization in Ambulatory Surgical. The authorized official for Blue Water Asc LLC is Mr. Jeffrey Snodgrass (President). Blue Water Asc LLC is licensed to practice in the state of Michigan (#74-6817).
| NPI | 1720023690 |
| Entity Type | Organization |
| Organization Name | BLUE WATER ASC LLC |
| Provider Name | BLUE WATER ASC LLC |
| Practice Address |
920 River Centre Dr Port Huron MI 48060-4463 |
| Practice Telephone | 8109845200 |
| Practice Fax Number | 8109855050 |
| Mailing Address |
1a Burton Hills Blvd Ste 300 Nashville TN 37215-6153 |
| Mailing Telephone | 6152634011 |
| Mailing Fax Number | 6152341720 |
| Certification Date | 2025-09-23 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2025-09-23 |
| Is Organization Subpart | N |
| Official Name | MR. JEFFREY SNODGRASS |
| Official Title | PRESIDENT |
| Telephone | 6156651283 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QA1903X | Clinic/Center | Ambulatory Surgical | 74-6817 | MI |
| Other Organization Name | Type |
|---|---|
| Blue Water Surgery Center, LLC | Doing Business As Name |
| Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hcn Ep Horizon City, LLC | 11213 Gateway Blvd W, El Paso, TX 79935-5402 | Ambulatory Surgical Clinic/Center | 2026-03-30 |
| Aura Surgery Center of Stockton LLC | 1805 N California St Ste 405, Stockton, CA 95204-6033 | Ambulatory Surgical Clinic/Center | 2026-04-08 |
| Century Surgical Center | 28720 Roadside Dr Ste 200, Agoura Hills, CA 91301-4576 | Ambulatory Surgical Clinic/Center | 2026-04-03 |
| Arkansas Center for Implant Surgery | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205-5415 | Ambulatory Surgical Clinic/Center | 2026-03-26 |
| Surgery Center of Southern California LLC | 1451 E Chevy Chase Dr Ste 102, Glendale, CA 91206-4056 | Ambulatory Surgical Clinic/Center | 2026-04-09 |
| Midtown Tampa Asc, LLC | 2727 Martin Luther King Blvd, Ste 150, Tampa, FL 33607 | Ambulatory Surgical Clinic/Center | 2026-04-03 |
| Stellar Surgical Center LLC | 7200 N Western Ave, Chicago, IL 60645-1812 | Ambulatory Surgical Clinic/Center | 2026-04-10 |
| Cedars-Sinai Surgery Center At Torrance, LLC | 23500 Madison St, Torrance, CA 90505-4702 | Ambulatory Surgical Clinic/Center | 2026-04-03 |
| California Reproductive Surgery, Inc | 2590 Venture Oaks Way # 103, Sacramento, CA 95833-3288 | Ambulatory Surgical Clinic/Center | 2026-03-23 |
| Essentia Health Surgery Centers-North Dakota, LLC | 275 11th St S, Wahpeton, ND 58075-4655 | Ambulatory Surgical Clinic/Center | 2026-04-01 |
| Find all providers with the same taxonomy | |||
| Street Address |
920 RIVER CENTRE DR |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-4463 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Emily Tan | 940 River Centre Dr, Port Huron, MI 48060-4463 | Orthopaedic Hand Surgery Physician | 2014-04-23 |
| Hannah Briann Kohler | 940 River Centre Dr, Port Huron, MI 48060-4463 | Nurse Practitioner | 2022-08-19 |
| Kyrollos Boules | 940 River Centre Dr, Port Huron, MI 48060-4463 | Physical Therapist | 2022-01-20 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Irb Medical Equipment LLC | 2001 Holland Ave, Suite A, Port Huron, MI 48060-1519 | Durable Medical Equipment & Medical Supplies | 2014-10-03 |
| Karen Margaret Wood | 2186 Water St, Port Huron, MI 48060-2543 | Clinical Social Worker | 2025-01-23 |
| Wynneth Huang | 1231 Pine Grove Ave Ste 1a, Port Huron, MI 48060-3500 | Physician Assistant | 2021-09-08 |
| Noah Gunderson | 3112 Wright St, Port Huron, MI 48060-2263 | Behavior Technician | 2026-01-05 |
| Vinculum Care Foundation | 1530 Pine Grove Ave, Port Huron, MI 48060-3370 | Case Management Registered Nurse | 2026-03-03 |
| Rachel Distelrath · Rachel Mcgregor | 1210 10th Ave, Port Huron, MI 48060-3406 | Family Nurse Practitioner | 2024-11-25 |
| James Saad | 1014 Holland Ave, Port Huron, MI 48060-1513 | Behavior Technician | 2023-09-21 |
| Kaitlyn Marie Mahaffy · Kaitlyn Marie Amey | 1210 10th Ave, Port Huron, MI 48060-3406 | Family Nurse Practitioner | 2024-01-22 |
| Nathanael William Russell | 2837 Walnut St, Port Huron, MI 48060-2162 | Clinical Social Worker | 2020-04-06 |
| Enlightened Mind LLC | 2837 Walnut St, Port Huron, MI 48060-2162 | Clinical Social Worker | 2023-02-28 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Seeds & Water | 3011 Montebello Ter, Baltimore, MD 21214-3311 | Behavioral Analyst | 2025-11-13 |
| Still Water Counseling | 7101 Bowen Pier Dr, Hanahan, SC 29410-4821 | Professional Counselor | 2025-09-23 |
| Blue Water Healthcare LLC | 3950 Sunforest Ct Ste 200, Toledo, OH 43623-4522 | Home Infusion Agency | 2023-10-05 |
| Strong Water LLC | 13830 Santa Fe Trail Dr Ste 106, Lenexa, KS 66215-3381 | Psychiatric/Mental Health Nurse Practitioner | 2026-01-31 |
| Ripples In The Water Counseling LLC | 1600 W Chandler Blvd Ste 120, Chandler, AZ 85224-6100 | Mental Health Counselor | 2025-04-24 |
| Living Water Aba LLC | 992 Bailey Woods Rd, Dacula, GA 30019-1230 | Behavioral Analyst | 2025-10-10 |
| Blue Water Pain Solutions, Pa | 2010 Nw 150th Ave Ste 100, Pembroke Pines, FL 33028-2888 | Pain Medicine (Anesthesiology) Physician | 2014-06-26 |
| Blue Cross and Blue Shield of Massachusetts Hmo Blue, Inc. | 101 Huntington Ave, Mail Stop 0119-1911 C/O Kristin Jean, Boston, MA 02199 | Health Maintenance Organization | 2026-03-10 |
| East Water Leasing Co. II, LLC | 10123 Alliance Rd, Blue Ash, OH 45242-4887 | Emergency Response System Companies | 2026-02-18 |
| Through Water Counseling LLC | 12930 James St Ste 140, Holland, MI 49424-8324 | Professional Counselor | 2025-10-21 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |