PHYSICIAN SURGERY CENTER LLC; NPI #1710926589

Contact Information

PHYSICIAN SURGERY CENTER LLC

1500 HIGHWAY 72 EAST
ROLLA, MO 65401

Phone: 573-426-6301
Fax: 573-426-6304
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 PHYSICIAN SURGERY CENTER LLC

NPI # 1710926589

LBN Legal business name PHYSICIAN SURGERY CENTER LLC

Authorized official ANN DETERS - (PRES)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/06/2006

Last updated 08/05/2009 - About 17 years ago

Identifiers

Other	168305	BCBS
Other	511377	HEALTHLINK
Other	514184	HEALTHLINK
Other	P00443325	RAILROAD MEDICARE

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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