Four States Surgery Center in Springfield - Ambulatory Surgical
Four States Surgery Center - NPI 1508813627
Four States Surgery Center is a Ambulatory Surgical in Springfield, Missouri. Four States Surgery Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Four States Surgery Center is 1508813627. The last update date is 2022-12-15.
Four States Surgery Center's current location address is 1531 East Bradford Parkway Ste 100, Springfield, Missouri. You can contact this provider via phone number 4178873900 and fax number 4178232894. The mailing address for Four States Surgery Center is 1531 East Bradford Parkway Ste 100, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Four States Surgery Center |
|---|---|
| Address | 1531 East Bradford Parkway Ste 100, Springfield, Missouri |
| Phone Number | 4178873900 |
| Fax Number | 4178232894 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASC DIRECT |
|---|---|
| Authorized Official Name | Smith Lisa |
| Telephone Number | 4172067900 |
NPI Number Detail
| NPI Number | 1508813627 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2022-12-15 |
Provider Mailing Address Detail
| Address | 1531 East Bradford Parkway Ste 100 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658046539 |
| Phone Number | 4178873900 |
| Fax Number | 4178232894 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 157-1 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 504769902 | MO | -- | |
| M4120R05 | OK | -- | |
| 67868614-01 | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Four States Surgery Center by the Centers for Medicare & Medicaid Services?
The Four States Surgery Center has been assigned the NPI (National Provider Identifier) 1508813627. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Four States Surgery Center is located?
The Four States Surgery Center is situated at the following address: 1531 East Bradford Parkway Ste 100, Springfield, MO, 658046539.
What is Four States Surgery Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Four States Surgery Center is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.
On what date was the 1508813627 assigned to Four States Surgery Center?
The Four States Surgery Center was issued its 1508813627 on 2006-05-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Four States Surgery Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Four States Surgery Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-15.
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