Mason Ridge Surgery Center, Llc in Saint Louis - Ambulatory Surgical

Mason Ridge Surgery Center, Llc - NPI 1396796595

Mason Ridge Surgery Center, Llc is a Ambulatory Surgical in Saint Louis, Missouri. Mason Ridge Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Mason Ridge Surgery Center, Llc is 1396796595. The last update date is 2008-03-17.

Mason Ridge Surgery Center, Llc's current location address is 12855 N Outer 40, Saint Louis, Missouri. You can contact this provider via phone number 3148787150 and fax number 3148783051. The mailing address for Mason Ridge Surgery Center, Llc is 12855 N Outer 40, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mason Ridge Surgery Center, Llc
Address 12855 N Outer 40, Saint Louis, Missouri
Phone Number 3148787150
Fax Number 3148783051
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Rothrock Christopher
Credentials MD
Telephone Number 3148787150

NPI Number Detail

NPI Number 1396796595
Provider Enumeration Date 2006-05-12
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 12855 N Outer 40
City Saint Louis
State Missouri (MO)
Post Code 631418635
Phone Number 3148787150
Fax Number 3148783051

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 180-0
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Mason Ridge Surgery Center, Llc

What is the unique identification code assigned to Mason Ridge Surgery Center, Llc by the Centers for Medicare & Medicaid Services?

The Mason Ridge Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1396796595. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mason Ridge Surgery Center, Llc?

The Mason Ridge Surgery Center, Llc is situated at 12855 N Outer 40, in the city of Saint Louis, state of MO, with the zip code 631418635.

What is Mason Ridge Surgery Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mason Ridge Surgery Center, Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date was the 1396796595 assigned to Mason Ridge Surgery Center, Llc?

The Mason Ridge Surgery Center, Llc was issued its 1396796595 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Mason Ridge Surgery Center, Llc most recently updated?

The details pertaining to the Mason Ridge Surgery Center, Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-03-17.

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