Des Peres Square Surgery Center

LBN: The St Louis Mo Orthopaedic Asc Llc
Des Peres Square Surgery Center is an health care organization with primary practice located at 1050 Old Des Peres Rd Suite 150, Saint Louis MO 63131-1873. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. The St Louis Mo Orthopaedic Asc Llc can be contacted via phone (314) 569-2918, or through Clendenin, Phillip A via phone (615) 665-1283.

Contact Information

Primary practice address
1050 Old Des Peres Rd Suite 150 Saint Louis MO 63131-1873
Fax: (314) 569-9473
Website:
Authorized official contact:
Name: Clendenin, Phillip A

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 171-1 Missouri

Profile Details

NPI number 1497720882
LBN Legal business name The St Louis Mo Orthopaedic Asc Llc
DBA Doing business as Des Peres Square Surgery Center
Authorized official Clendenin, Phillip A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 7th, 2023 - 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 1497720882 NPPES
Missouri Other 149879 BLUE CROSS BLUE SHIELD
Missouri Other 611789400 BLUE CROSS BLUE SHIELD
Missouri Other TRICARE BLUE CROSS BLUE SHIELD
Missouri Other 490005580 BLUE CROSS BLUE SHIELD

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