Mattax Neu Prater Surgery Center, Llc in Springfield - Ambulatory Surgical

Mattax Neu Prater Surgery Center, Llc - NPI 1386604908

Mattax Neu Prater Surgery Center, Llc is a Ambulatory Surgical in Springfield, Missouri. Mattax Neu Prater Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Mattax Neu Prater Surgery Center, Llc is 1386604908. The last update date is 2016-05-05.

Mattax Neu Prater Surgery Center, Llc's current location address is 1265 E Primrose St, Springfield, Missouri. You can contact this provider via phone number 4178863937 and fax number 4178861285. The mailing address for Mattax Neu Prater Surgery Center, Llc is 1265 E Primrose St, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mattax Neu Prater Surgery Center, Llc
Address 1265 E Primrose St, Springfield, Missouri
Phone Number 4178863937
Fax Number 4178861285
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mattax B. James
Credentials MD
Telephone Number 4178863937

NPI Number Detail

NPI Number 1386604908
Provider Enumeration Date 2006-03-27
Last Updated Date 2016-05-05

Provider Mailing Address Detail

Address 1265 E Primrose St
City Springfield
State Missouri (MO)
Post Code 658044278
Phone Number 4178863937
Fax Number 4178861285

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 94-7
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
503156903 MO --

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FAQs about Mattax Neu Prater Surgery Center, Llc

What is the unique 10-digit identifier code assigned to Mattax Neu Prater Surgery Center, Llc by the Centers for Medicare & Medicaid Services?

The Mattax Neu Prater Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1386604908 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mattax Neu Prater Surgery Center, Llc is physically located?

The Mattax Neu Prater Surgery Center, Llc is situated at the following address: 1265 E Primrose St, Springfield, MO 658044278.

What is Mattax Neu Prater Surgery Center, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mattax Neu Prater Surgery Center, Llc's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1386604908 to Mattax Neu Prater Surgery Center, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1386604908 to Mattax Neu Prater Surgery Center, Llc on 2006-03-27.

When was the Mattax Neu Prater Surgery Center, Llc's information last updated?

The Mattax Neu Prater Surgery Center, Llc's information was last updated on 2016-05-05.

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