C. Rex Witherspoon Surgery Center Inc

LBN: C. Rex Witherspoon Surgery Center Inc
C. Rex Witherspoon Surgery Center Inc is an health care organization with primary practice located at 1103 E Montclair St Suite 110, Springfield MO 65807-5076. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. C. Rex Witherspoon Surgery Center Inc can be contacted via phone (417) 447-2482, or through Gipson, Julie Ann via phone (417) 447-2482.

Contact Information

Primary practice address
1103 E Montclair St Suite 110 Springfield MO 65807-5076
Phone: (417) 447-2482
Fax: (417) 447-2596
Website:
Map and Directions
Authorized official contact:
Name: Gipson, Julie Ann MBA, CASC
Phone: (417) 447-2482

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 148-1 Missouri

Profile Details

NPI number 1629105770
LBN Legal business name C. Rex Witherspoon Surgery Center Inc
DBA Doing business as
Authorized official Gipson, Julie Ann MBA, CASC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 14th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629105770 NPPES
Missouri MEDICAID 507189207

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