Surgery Center Of St. Joseph, Llc

LBN: Surgery Center Of St. Joseph, Llc
Surgery Center Of St. Joseph, Llc is an health care organization with primary practice located at 3201 Ashland Ave , Saint Joseph MO 64506-1504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgery Center Of St. Joseph, Llc can be contacted via phone (816) 279-0079, or through Fry, Angela J via phone (816) 279-0079.

Contact Information

Primary practice address
3201 Ashland Ave Saint Joseph MO 64506-1504
Phone: (816) 279-0079
Fax: (816) 364-1100
Website:
Map and Directions
Authorized official contact:
Name: Fry, Angela J
Phone: (816) 279-0079

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 119-3 Missouri

Profile Details

NPI number 1104857523
LBN Legal business name Surgery Center Of St. Joseph, Llc
DBA Doing business as
Authorized official Fry, Angela J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 5th, 2012 - about 14 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 1104857523 NPPES
Missouri MEDICAID 502343502
Missouri Other 26C0001012

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