ADVANCED AMBULATORY SURGICAL CARE, LP; NPI #1578566758

Contact Information

ADVANCED AMBULATORY SURGICAL CARE, LP

10448 OLD OLIVE STREET RD
STE 100
CREVE COEUR, MO 63141

Phone: 314-743-8091
Fax: 314-743-8092
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 ADVANCED AMBULATORY SURGICAL CARE, LP

NPI # 1578566758

LBN Legal business name ADVANCED AMBULATORY SURGICAL CARE, LP

Authorized official CHRIS HARTSHORN - (AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/23/2005

Last updated 09/18/2024 - More than a year ago

Identifiers

MO	License #	178
MO	Medicaid	507008902
	Other	192542	BC/BS
	Other	270644	GHP
	Other	688642	HEALTHLINK
MO	Other	P00181748	RR MEDICARE
MO	Other	571197738	TRICARE

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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