BLUE VALLEY ASC, P.A.; NPI #1407294986

Contact Information

BLUE VALLEY ASC, P.A.

12800 METCALF AVENUE SUITE 2
OVERLAND PARK, KS 66213

Phone: 913-626-4633
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for BLUE VALLEY ASC, P.A.

NPI Number 1407294986

LBN Legal business name BLUE VALLEY ASC, P.A.

Authorized official TRAVIS FOXX - (PRESIDENT/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/06/2013

Last updated 06/06/2013 - About 13 years ago

Identifiers

License #

4722856

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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