Surgery Center Of St. Joseph, Llc in Saint Joseph - Ambulatory Surgical
Surgery Center Of St. Joseph, Llc - NPI 1104857523
Surgery Center Of St. Joseph, Llc is a Ambulatory Surgical in Saint Joseph, Missouri. Surgery Center Of St. Joseph, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Surgery Center Of St. Joseph, Llc is 1104857523. The last update date is 2012-04-05.
Surgery Center Of St. Joseph, Llc's current location address is 3201 Ashland Ave, Saint Joseph, Missouri. You can contact this provider via phone number 8162790079 and fax number 8169010403. The mailing address for Surgery Center Of St. Joseph, Llc is 3201 Ashland Ave, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Surgery Center Of St. Joseph, Llc |
---|---|
Address | 3201 Ashland Ave, Saint Joseph, Missouri |
Phone Number | 8162790079 |
Fax Number | 8169010403 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINIC DIR |
---|---|
Authorized Official Name | Fry J Angela |
Telephone Number | 8162790079 |
NPI Number Detail
NPI Number | 1104857523 |
---|---|
Provider Enumeration Date | 2006-07-05 |
Last Updated Date | 2012-04-05 |
Provider Mailing Address Detail
Address | 3201 Ashland Ave |
---|---|
City | Saint Joseph |
State | Missouri (MO) |
Post Code | 645061504 |
Phone Number | 8162790079 |
Fax Number | 8169010403 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
---|---|
Taxonomy | 261Qa1903X |
Licence No | 119-3 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
502343502 | MO | -- | |
26C0001012 | MO | MEDICARE SUPPLIER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Surgery Center Of St. Joseph, Llc by the Centers for Medicare & Medicaid Services?
The Surgery Center Of St. Joseph, Llc has been issued the NPI (National Provider Identifier) 1104857523 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Surgery Center Of St. Joseph, Llc?
The Surgery Center Of St. Joseph, Llc is situated at 3201 Ashland Ave, in the city of Saint Joseph, state of MO, with the zip code 645061504.
What is Surgery Center Of St. Joseph, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Surgery Center Of St. Joseph, Llc is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
When did Surgery Center Of St. Joseph, Llc receive its 1104857523 assignment?
The Surgery Center Of St. Joseph, Llc was assigned its 1104857523 on 2006-07-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Surgery Center Of St. Joseph, Llc last refreshed?
The information related to the Surgery Center Of St. Joseph, Llc, including its address, specialty, and other relevant details, was last updated on 2012-04-05.
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