IEC SURGICAL CENTERS LLC NPI 1811028293

NPI Information

  • NPI: 1811028293
  • Provider Name: IEC SURGICAL CENTERS LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PHYSICIANS SURGERY CENTER
  • CLIA Number: 26D1074657
  • Address: 170 MEDICAL DR
    HANNIBAL, MO
    ZIP 63401
  • Phone: (573) 231-0175

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NPI Details

IEC SURGICAL CENTERS LLC is an ambulatory surgical clinic center in Hannibal, MO. IEC SURGICAL CENTERS LLC NPI is 1811028293. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Surgery Center.

The provider's business location address is:

170 MEDICAL DR
HANNIBAL, MO
ZIP 63401-877
Phone: (573) 231-0175
Fax: (573) 231-0202

The provider's authorized official is Joseph Gira .
The authorized official title is Owner and has the following contact phone number (217) 222-9207.

The CLIA number assigned to this NPI record is 26D1074657 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Laser repair to improve eye fluid flow (HCPCS:65855)

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/7/2014.

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 SurgicalYes

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
1505488007MEDICAIDMISSOURI

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: 3/30/2025

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