The Surgery Center Of St. Louis, Llc in Saint Louis - Ambulatory Surgical
The Surgery Center Of St. Louis, Llc - NPI 1710066014
The Surgery Center Of St. Louis, Llc is a Ambulatory Surgical in Saint Louis, Missouri. The Surgery Center Of St. Louis, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for The Surgery Center Of St. Louis, Llc is 1710066014. The last update date is 2008-04-14.
The Surgery Center Of St. Louis, Llc's current location address is 12639 Old Tesson Rd, Saint Louis, Missouri. You can contact this provider via phone number 3147290785 and fax number 3148494637. The mailing address for The Surgery Center Of St. Louis, Llc is 12639 Old Tesson Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Surgery Center Of St. Louis, Llc |
|---|---|
| Address | 12639 Old Tesson Rd, Saint Louis, Missouri |
| Phone Number | 3147290785 |
| Fax Number | 3148494637 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ladevich Michael |
| Telephone Number | 3148428655 |
NPI Number Detail
| NPI Number | 1710066014 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 12639 Old Tesson Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631282786 |
| Phone Number | 3147290785 |
| Fax Number | 3148494637 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 129-2 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490005357 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to The Surgery Center Of St. Louis, Llc by the Centers for Medicare & Medicaid Services?
The The Surgery Center Of St. Louis, Llc has been assigned the NPI (National Provider Identifier) 1710066014 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where The Surgery Center Of St. Louis, Llc's facilities are geographically located?
The facilities of The Surgery Center Of St. Louis, Llc are physically situated at the following location: 12639 Old Tesson Rd, Saint Louis, MO, 631282786.
What is The Surgery Center Of St. Louis, Llc's area of expertise and its corresponding taxonomy classification?
The The Surgery Center Of St. Louis, Llc's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1710066014 to The Surgery Center Of St. Louis, Llc?
The The Surgery Center Of St. Louis, Llc received its 1710066014 assignment from the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date was the information pertaining to The Surgery Center Of St. Louis, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to The Surgery Center Of St. Louis, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-14.