NORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC
Surgery Yellow Pages
Hannibal, Missouri
Provider NPI: 1710982699
Organization Information:Organization Name: NORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC
Practice Location:
98 MEDICAL DRIVE HANNIBAL, MO 63401 US
Tel: 573-406-1301 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:
98 MEDICAL DRIVE HANNIBAL, MO 63401 US
Tel: 573-406-1301 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 | 108 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HEALTHLINK PROVIDER ID | 431607 | MO | 01 |
BCBS PROVIDER ID | 143365 | MO | 01 |
RAILROAD MEDICARE | 490004674 | MO | 01 |
505073205 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin