BLUE RIDGE SURGICAL CENTER, LLC
Surgery Yellow Pages
Kansas City, Missouri
Provider NPI: 1023010311
Organization Information:Organization Name: BLUE RIDGE SURGICAL CENTER, LLC
Practice Location:
4240 BLUE RIDGE BLVD STE 950 KANSAS CITY, MO 64133 US
Tel: 816-358-9990 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4240 BLUE RIDGE BLVD STE 950 KANSAS CITY, MO 64133 US
Tel: 816-358-9990 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | MO | 130-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RR MEDICARE | P00082928 | 01 | |
506099100 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin