WEST PLAINS SURGERY CENTER LLC
Surgery Yellow Pages
West Plains, Missouri
Provider NPI: 1073509733
Organization Information:Organization Name: WEST PLAINS SURGERY CENTER LLC
Practice Location:
1401 DOCTORS DR WEST PLAINS, MO 65775 US
Tel: 417-256-1400 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:
1401 DOCTORS DR WEST PLAINS, MO 65775 US
Tel: 417-256-1400 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 | 160-0 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE LICENSE | 160-0 | MO | 01 |
MEDICARE PTAN | 000040088 | MO | 01 |
507268902 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin