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WEST PLAINS SURGERY CENTER LLC NPI 1073509733


NPI Information

NPI: 1073509733
Provider Name: WEST PLAINS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 26D1040263

Address:
1401 DOCTORS DR
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-1400
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WEST PLAINS SURGERY CENTER LLC is an ambulatory surgical clinic center in West Plains, MO. WEST PLAINS SURGERY CENTER LLC NPI is 1073509733. The provider is registered as an organization entity type.

The provider's business location address is:

1401 DOCTORS DR
WEST PLAINS, MO
ZIP 65775-754
Phone: (417) 256-1400
Fax: (417) 256-2885

The provider's authorized official is Angela M. Worley .
The authorized official title is Administrator and has the following contact phone number (417) 256-1400.

The CLIA number assigned to this NPI record is 26D1040263 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 7/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical160-0MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000040088OTHERMISSOURIMEDICARE PTAN
2160-0OTHERMISSOURISTATE LICENSE
3507268902MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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