SSM ST. JOSEPH SURGERY CENTER LLC NPI 1396782553

NPI Information

NPI: 1396782553
Provider Name: SSM ST. JOSEPH SURGERY CENTER, LLC

Doing Business As: THE SURGERY CENTER AT ST. JOSEPH MEDICAL PARK

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

Specialization: Ambulatory Surgical

Address:
1475 KISKER RD
SAINT CHARLES, MO
ZIP 63304
Phone: (636) 498-7400
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SSM ST. JOSEPH SURGERY CENTER, LLC is an ambulatory surgical clinic center in Saint Charles, MO. SSM ST. JOSEPH SURGERY CENTER, LLC NPI is 1396782553. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center At St. Joseph Medical Park.

The provider's business location address is:

1475 KISKER RD
SAINT CHARLES, MO
ZIP 63304-781
Phone: (636) 498-7400
Fax: (636) 498-7420

The provider's authorized official is Steven Johnson .
The authorized official title is President and has the following contact phone number (314) 989-2072.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 12/22/2008.

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			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	000040034	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	MEDICARE NUMBER

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

NPI Synchronization or Removal

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