# WICHITA ORTHOPAEDIC ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Kansas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083686208
- **Authorized official:** JEFFREY E SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 7550 WEST VILLAGE CIRCLE, SUITE B, WICHITA, KS 67205
- **Practice address phone:** (316) 838-8388
- **Practice address fax:** (316) 838-2999
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 665-1283
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S087006 | KS | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 11/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100304010 | — | KS |