Doctors Park Surgery Inc

LBN: Doctors Park Surgery Inc
Doctors Park Surgery Inc is an health care organization with primary practice located at 30 Doctors Park , Cape Girardeau MO 63703-4928. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Doctors Park Surgery Inc can be contacted via phone (573) 334-9606, or through Roberts, Darin M via phone (573) 334-9606.

Contact Information

Primary practice address
30 Doctors Park Cape Girardeau MO 63703-4928
Fax: (573) 334-9608
Website:
Authorized official contact:
Name: Roberts, Darin M

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 4616 Missouri

Profile Details

NPI number 1861487324
LBN Legal business name Doctors Park Surgery Inc
DBA Doing business as
Authorized official Roberts, Darin M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 16th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861487324 NPPES
Missouri Other 1048868 FIRST HEALTH PROVIDER #
Missouri Other 114023 FIRST HEALTH PROVIDER #
Missouri Other 490001288 FIRST HEALTH PROVIDER #
Missouri MEDICAID 501627400 FIRST HEALTH PROVIDER #
Missouri Other 59 FIRST HEALTH PROVIDER #

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