FOUNDERS SURGERY CENTER LLC NPI 1760020846

NPI Information

NPI: 1760020846
Provider Name: FOUNDERS SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 17D2189084

Address:
1961 N FOUNDERS CIRCLE
WICHITA, KS
ZIP 67206
Phone: (316) 613-4931
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FOUNDERS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Wichita, KS. FOUNDERS SURGERY CENTER, LLC NPI is 1760020846. The provider is registered as an organization entity type.

The provider's business location address is:

1961 N FOUNDERS CIRCLE
WICHITA, KS
ZIP 67206
Phone: (316) 613-4931

The provider's authorized official is Kevin Strecker .
The authorized official title is Administrator and has the following contact phone number (316) 858-4921.

The CLIA number assigned to this NPI record is 17D2189084 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 12/19/2019.

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	200726520H	MEDICAID	KANSAS

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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