Organization Name:  SOUTH PLACER SURGERY CENTER LP


Practice Location:
8 MEDICAL PLAZA DRIVE SUITE 100 ROSEVILLE, CA 95661 US
Tel: 916-677-5070  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	CA	03000772

Other Provider Identifiers:

Issuer	Number	State	Type
US DEPT OF LABOR	220182400		01
BLUE CROSS	AS1608		01
	SUR01608F	CA	05
BLUE SHIELD	ZZZH3100Z	CA	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