Four States Surgery Center,

LBN: Four States Surgery Center, Pc
Four States Surgery Center, is an health care organization with primary practice located at 1905 W 32Nd St Ste 201 , Joplin MO 64804-1512. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Four States Surgery Center, Pc can be contacted via phone (417) 206-7900, or through Randles, Mindy via phone (417) 887-3900.

Contact Information

Primary practice address
1905 W 32Nd St Ste 201 Joplin MO 64804-1512
Phone: (417) 206-7900
Fax: (417) 206-3871
Website:
Map and Directions
Authorized official contact:
Name: Randles, Mindy
Phone: (417) 887-3900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 157-1 Missouri

Profile Details

NPI number 1508813627
LBN Legal business name Four States Surgery Center, Pc
DBA Doing business as Four States Surgery Center,
Authorized official Randles, Mindy
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Feb 27th, 2024 - about last year

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 1508813627 NPPES
Oklahoma MEDICAID M4120R05
Oklahoma MEDICAID 504769902
Oklahoma MEDICAID 67868614-01

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