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CAPE GIRARDEAU OUTPATIENT SURGERY CENTER NPI 1598727463


NPI Information

NPI: 1598727463
Provider Name: CAPE GIRARDEAU OUTPATIENT SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1429 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 335-9175
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CAPE GIRARDEAU OUTPATIENT SURGERY CENTER is an ambulatory surgical clinic center in Cape Girardeau, MO. CAPE GIRARDEAU OUTPATIENT SURGERY CENTER NPI is 1598727463. The provider is registered as an organization entity type.

The provider's business location address is:

1429 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63701-171
Phone: (573) 335-9175
Fax: (573) 334-3390

The provider's authorized official is Suzie Vickery .
The authorized official title is Surgery Administrator and has the following contact phone number (573) 335-9175.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical53-12MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11525586OTHERMISSOURIUMWA
2=========001MEDICAIDILLINOIS
3107822OTHERMISSOURIGROUP HEALTH PLAN
4=========OTHERMISSOURIUNITED HEALTHCARE
5052418OTHERMISSOURIHEALTH ALLIANCE
6241640OTHERMISSOURIHEALTHLINK
728OTHERMISSOURIBLUECROSS BLUESHIELD

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: 4/28/2024

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