Triad Surgery Center Llc in Tulsa - Ambulatory Surgical

Triad Surgery Center Llc - NPI 1508862160

Triad Surgery Center Llc is a Ambulatory Surgical in Tulsa, Oklahoma. Triad Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Triad Surgery Center Llc is 1508862160. The last update date is 2019-06-26.

Triad Surgery Center Llc's current location address is 6140 S Memorial Dr, Tulsa, Oklahoma. You can contact this provider via phone number 9182522020 and fax number 9182527466. The mailing address for Triad Surgery Center Llc is 6140 S Memorial Dr, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Triad Surgery Center Llc
Address 6140 S Memorial Dr, Tulsa, Oklahoma
Phone Number 9182522020
Fax Number 9182527466
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/MANA
Authorized Official Name Conley Patrick Ryan
Telephone Number 9186876600

NPI Number Detail

NPI Number 1508862160
Provider Enumeration Date 2005-06-28
Last Updated Date 2019-06-26

Provider Mailing Address Detail

Address 6140 S Memorial Dr
City Tulsa
State Oklahoma (OK)
Post Code 741331933
Phone Number 9182522020
Fax Number 9182527466

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 28
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100738620A OK --
4900008330 OK MEDICARE ID
CO5028 OK RMEDICARE ID

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FAQs about Triad Surgery Center Llc

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

The Triad Surgery Center Llc has been issued the NPI (National Provider Identifier) 1508862160. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Triad Surgery Center Llc is physically located?

The Triad Surgery Center Llc is situated at the following address: 6140 S Memorial Dr, Tulsa, OK 741331933.

What is Triad Surgery Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Triad Surgery Center Llc is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.

On what date did the Triad Surgery Center Llc receive the assignment of its 1508862160 from the Centers for Medicare & Medicaid Services?

The Triad Surgery Center Llc was issued its 1508862160 by the Centers for Medicare & Medicaid Services on 2005-06-28.

As of what date were the details related to Triad Surgery Center Llc most recently updated or revised?

The information pertaining to Triad Surgery Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-26.

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