NPI:
1821219718
Provider Name:
WASHINGTON SURGERY CENTER, LLC
Former Legal Business Name: WASHINGTON SURGERY CENTER, INC.
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
CLIA Number: 26D1040582
Address:
16 CHAMBER DR
WASHINGTON, MO
ZIP 63090
Phone:
(636) 239-9122
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WASHINGTON SURGERY CENTER, LLC is an ambulatory surgical clinic center in Washington, MO. WASHINGTON SURGERY CENTER, LLC NPI is 1821219718. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Washington Surgery Center, Inc..
The provider's business location address is:
16 CHAMBER DR
WASHINGTON, MO
ZIP 63090-279
Phone: (636) 239-9122
Fax: (636) 239-9120
The provider's authorized official is Kayla Rose Hoke .
The authorized official title is Administrator and has the following contact phone number (636) 239-9122.
The CLIA number assigned to this NPI record is 26D1040582 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/8/2022.