32ND STREET SURGERY CENTER, LLC; NPI #1962676304

Contact Information

32ND STREET SURGERY CENTER, LLC

1531 E 32ND STREET
SUITE 6
JOPLIN, MO 64804-2925

Phone: 417-627-9699
Fax: 417-627-9602
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 32ND STREET SURGERY CENTER, LLC

NPI Number 1962676304

LBN Legal business name 32ND STREET SURGERY CENTER, LLC

Authorized official JEFFREY SNODGRASS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/16/2008

Last updated 05/10/2022 - About 4 years ago

Identifiers

MO	License #	247-0
KS	Medicaid	200588590A

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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32ND STREET SURGERY CENTER, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for 32ND STREET SURGERY CENTER, LLC

Reviews for 32ND STREET SURGERY CENTER, LLC