Northeast Missouri Ambulatory Surgery Center Llc
LBN: Northeast Missouri Ambulatory Surgery Center Llc
Northeast Missouri Ambulatory Surgery Center Llc is an health care organization with primary practice located at 98 Medical Drive , Hannibal MO 63401. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Northeast Missouri Ambulatory Surgery Center Llc can be contacted via phone (573) 406-1301, or through Johnson, Matthew via phone (573) 406-1301.
Contact Information
Primary practice address
98 Medical Drive
Hannibal MO 63401
Phone: (573) 406-1301
Fax: (573) 406-0511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 108 | Missouri |
Profile Details
| NPI number | 1710982699 |
|---|---|
| LBN Legal business name | Northeast Missouri Ambulatory Surgery Center Llc |
| DBA Doing business as | |
| Authorized official | Johnson, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Oct 21st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710982699 | NPPES |
| Missouri | Other | 431607 | HEALTHLINK PROVIDER ID |
| Missouri | Other | 490004674 | HEALTHLINK PROVIDER ID |
| Missouri | MEDICAID | 505073205 | HEALTHLINK PROVIDER ID |
| Missouri | Other | 143365 | HEALTHLINK PROVIDER ID |
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