ANDOVER AMBULATORY SURGERY CENTER LLC NPI 1770147217

NPI Information

ANDOVER AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Andover, KS. ANDOVER AMBULATORY SURGERY CENTER, LLC NPI is 1770147217. The provider is registered as an organization entity type.

The provider's business location address is:

1124 W 21ST ST STE 100
ANDOVER, KS
ZIP 67002-500
Phone: (316) 440-3200
Fax: (316) 440-3255

The provider's authorized official is Steven Hadley .
The authorized official title is Chief Financial Officer and has the following contact phone number (316) 440-3200.

The CLIA number assigned to this NPI record is 17D2174487 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 9/8/2020.

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:

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