MANCHESTER SURGERY CENTER LLC NPI 1669574539

NPI Information

  • NPI: 1669574539
  • Provider Name: MANCHESTER SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1040 OLD DES PERES RD
    DES PERES, MO
    ZIP 63131
  • Phone: (314) 775-2264

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NPI Details

MANCHESTER SURGERY CENTER, LLC is an ambulatory surgical clinic center in Des Peres, MO. MANCHESTER SURGERY CENTER, LLC NPI is 1669574539. The provider is registered as an organization entity type.

The provider's business location address is:

1040 OLD DES PERES RD
DES PERES, MO
ZIP 63131-865
Phone: (314) 775-2264
Fax: (314) 775-2271

The provider's authorized official is Melanie Kofron .
The authorized official title is Administrator and has the following contact phone number (314) 775-2264.

The enumeration date for this NPI number is 9/2/2006 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 Surgical163-1MISSOURIYes

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: 11/21/2025

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