C. REX WITHERSPOON SURGERY CENTER INC NPI 1629105770

NPI Information

NPI: 1629105770
Provider Name: C. REX WITHERSPOON SURGERY CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1103 E MONTCLAIR ST
SUITE 110
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 447-2482
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C. REX WITHERSPOON SURGERY CENTER INC is an ambulatory surgical clinic center in Springfield, MO. C. REX WITHERSPOON SURGERY CENTER INC NPI is 1629105770. The provider is registered as an organization entity type.

The provider's business location address is:

1103 E MONTCLAIR ST
SUITE 110
SPRINGFIELD, MO
ZIP 65807-076
Phone: (417) 447-2482
Fax: (417) 447-2596

The provider's authorized official is Julie Ann Gipson .
The authorized official title is Administrator and has the following contact phone number (417) 447-2482.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/14/2013.

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	148-1	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	507189207	MEDICAID	MISSOURI
2	00040081	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI

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

NPI Synchronization or Removal

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