MCALESTER AMBULATORY SURGERY CENTER, LLC
Surgery Yellow Pages
Mcalester, Oklahoma
Provider NPI: 1487644506
Organization Information:Organization Name: MCALESTER AMBULATORY SURGERY CENTER, LLC
Practice Location:
4 E CLARK BASS BLVD MCALESTER, OK 74501 US
Tel: 918-421-6700 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:
4 E CLARK BASS BLVD MCALESTER, OK 74501 US
Tel: 918-421-6700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | OK | 0068 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS/BLUE SHIELD | 000371048-001 | OK | 01 |
DEPARTMENT OF LABOR - WC | 175753300 | OK | 01 |
100748940A | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin