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ST. LOUIS WOMEN'S SURGERY CENTER LLC NPI 1154400471


NPI Information

NPI: 1154400471
Provider Name: ST. LOUIS WOMEN'S SURGERY CENTER, LLC

Doing Business As: ST. LOUIS MULTISPECIALTY SURGERY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 26D1020261

Address:
884 WOODS MILL RD
SUITE 100
BALLWIN, MO
ZIP 63011
Phone: (636) 779-0079
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ST. LOUIS WOMEN'S SURGERY CENTER, LLC is an ambulatory surgical clinic center in Ballwin, MO. ST. LOUIS WOMEN'S SURGERY CENTER, LLC NPI is 1154400471. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Louis Multispecialty Surgery Center.

The provider's business location address is:

884 WOODS MILL RD
SUITE 100
BALLWIN, MO
ZIP 63011-657
Phone: (636) 779-0079
Fax: (636) 779-0080

The provider's authorized official is Jennifer Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5900.

The CLIA number assigned to this NPI record is 26D1020261 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 3/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical140-2MISSOURIYes

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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