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

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FAQs about Surgery Center Of St. Joseph, Llc

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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