SEDALIA SURGERY CENTER, LLC
Surgery Yellow Pages
Sedalia, Missouri
Provider NPI: 1063493443
Organization Information:Organization Name: SEDALIA SURGERY CENTER, LLC
Practice Location:
3310 W 10TH ST SEDALIA, MO 65301 US
Tel: 660-829-4024 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:
3310 W 10TH ST SEDALIA, MO 65301 US
Tel: 660-829-4024 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 | 261QA1903X |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
TRICARE | 43194001265301 | MO | 01 |
PRIVATE HEALTHCARE SYSTEM | 491944012 | MO | 01 |
BLUE CROSS BLUE SHIELD | 91125019 | MO | 01 |
PHP | 91125019 | MO | 01 |
506013507 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin