Organization Name:  INSTITUTE FOR OUTPATIENT SURGERY, LLC


Practice Location:
402 KEENE ST SUITE 200 COLUMBIA, MO 65201 US
Tel: 573-499-1150  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	116-2

Other Provider Identifiers:

Issuer	Number	State	Type
ANTHEM BLUE CROSS	157213	MO	01
HEALTHLINK	338230	MO	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin