Woodcrest Surgery Center

LBN: Novamed Eye Surgery Center Of North County, Llc
Woodcrest Surgery Center is an health care organization with primary practice located at 12101 Woodcrest Executive Dr Suite 101, Saint Louis MO 63141-5047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Novamed Eye Surgery Center Of North County, Llc can be contacted via phone (866) 631-7890, or through Baldock, Jennifer Boyd via phone (615) 234-5900.

Contact Information

Primary practice address
12101 Woodcrest Executive Dr Suite 101 Saint Louis MO 63141-5047
Fax: (314) 838-6532
Website:
Authorized official contact:
Name: Baldock, Jennifer Boyd

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 76-9 Missouri

Profile Details

NPI number 1285630160
LBN Legal business name Novamed Eye Surgery Center Of North County, Llc
DBA Doing business as Woodcrest Surgery Center
Authorized official Baldock, Jennifer Boyd
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 6th, 2020 - about 4 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 1285630160 NPPES
Missouri MEDICAID 505450205
Missouri Other 490003037

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