Mattax Neu Prater Surgery Center, Llc

LBN: Mattax Neu Prater Surgery Center, Llc
Mattax Neu Prater Surgery Center, Llc is an health care organization with primary practice located at 1265 E Primrose St , Springfield MO 65804-4278. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mattax Neu Prater Surgery Center, Llc can be contacted via phone (417) 886-3937, or through Mattax, James B. via phone (417) 886-3937.

Contact Information

Primary practice address
1265 E Primrose St Springfield MO 65804-4278
Phone: (417) 886-3937
Fax: (417) 886-1285
Website:
Map and Directions
Authorized official contact:
Name: Mattax, James B. Doctor of Medicine (MD)
Phone: (417) 886-3937

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 94-7 Missouri

Profile Details

NPI number 1386604908
LBN Legal business name Mattax Neu Prater Surgery Center, Llc
DBA Doing business as
Authorized official Mattax, James B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated May 5th, 2016 - about 10 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 1386604908 NPPES
Missouri MEDICAID 503156903

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