ST MARY'S SURGICAL CENTER INDEPENDENCE NPI 1497736805

NPI Information

  • NPI: 1497736805
  • Provider Name: ST MARY'S SURGICAL CENTER INDEPENDENCE
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 26D1039429
  • Address: 203 NW RD MIZE ROAD
    SUITE 218
    BLUE SPRINGS, MO
    ZIP 64014
  • Phone: (816) 874-4181

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NPI Details

ST MARY'S SURGICAL CENTER INDEPENDENCE is an ambulatory surgical clinic center in Blue Springs, MO. ST MARY'S SURGICAL CENTER INDEPENDENCE NPI is 1497736805. The provider is registered as an organization entity type.

The provider's business location address is:

203 NW RD MIZE ROAD
SUITE 218
BLUE SPRINGS, MO
ZIP 64014
Phone: (816) 874-4181
Fax: (816) 874-4375

The provider's authorized official is Alan Greenwood .
The authorized official title is Administrator and has the following contact phone number (816) 874-4181.

The CLIA number assigned to this NPI record is 26D1039429 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 8/22/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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