Black River Ambulatory Surgery Center, Llc

LBN: Black River Ambulatory Surgery Center, Llc
Black River Ambulatory Surgery Center, Llc is an health care organization with primary practice located at 219 Physicians Park , Poplar Bluff MO 63901-3956. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Black River Ambulatory Surgery Center, Llc can be contacted via phone (573) 609-2444, or through Prather, David C via phone (573) 331-5129.

Contact Information

Primary practice address
219 Physicians Park Poplar Bluff MO 63901-3956
Phone: (573) 609-2444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prather, David C CPA, MBA
Phone: (573) 331-5129

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1770149304
LBN Legal business name Black River Ambulatory Surgery Center, Llc
DBA Doing business as
Authorized official Prather, David C CPA, MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2019
Last updated May 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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