ST. MARY'S SURGICAL CENTER LLC
Surgery Yellow Pages
Blue Springs, Missouri
Provider NPI: 1346249604
Organization Information:Organization Name: ST. MARY'S SURGICAL CENTER LLC
Practice Location:
203 NW R D MIZE RD STE 218 BLUE SPRINGS, MO 64014 US
Tel: 816-874-4181 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:
203 NW R D MIZE RD STE 218 BLUE SPRINGS, MO 64014 US
Tel: 816-874-4181 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 | 156-0 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
507521706 | MO | 05 | |
RAILROAD MEDICARE | P00218043 | MO | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin