Organization Name:  TALLGRASS SURGICAL CENTER, LLC


Practice Location:
6001 SW 6TH AVE SUITE 100 TOPEKA, KS 66615 US
Tel: 785-272-8807  Fax: --

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


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	KS	S089006

Other Provider Identifiers:

Issuer	Number	State	Type
RAILROAD MEDICARE	4900569		01
BCBS	130554	KS	01
	100450050A	KS	05
FIRST GUARD	509220		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