CHESTERFIELD AMBULATORY SURGERY CENTER LP NPI 1255373601

NPI Information

NPI: 1255373601
Provider Name: CHESTERFIELD AMBULATORY SURGERY CENTER LP

Doing Business As: CHESTERFIELD SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
17050 BAXTER RD
STE 110
CHESTERFIELD, MO
ZIP 63005
Phone: (636) 537-0122
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CHESTERFIELD AMBULATORY SURGERY CENTER LP is an ambulatory surgical clinic center in Chesterfield, MO. CHESTERFIELD AMBULATORY SURGERY CENTER LP NPI is 1255373601. The provider is registered as an organization entity type.
The provider Is Doing Business As Chesterfield Surgery Center.

The provider's business location address is:

17050 BAXTER RD
STE 110
CHESTERFIELD, MO
ZIP 63005-422
Phone: (636) 537-0122
Fax: (636) 537-0480

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Officer/authorized Official and has the following contact phone number (314) 800-2017.

The CLIA number assigned to this NPI record is 26D1023601 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 7/15/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	232-5	MISSOURI	Yes

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
1	26D1023601	OTHER	MISSOURI	CLIA
2	P00338546	OTHER	MISSOURI	RAILROAD MEDICARE
3	196128	OTHER	MISSOURI	GHP
4	509077202	MEDICAID	MISSOURI
5	610832100	OTHER	MISSOURI	DEPT. OF LABOR

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: 11/14/2023

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