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Organization
TALLGRASS SURGICAL CENTER, LLC
Active
Organization
TALLGRASS SURGICAL CENTER, LLC
Active
Parent organization
TOPEKA HOSPITAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOPEKA HOSPITAL, LLC
Authorized official
STEPHEN PETROVICH (EVP, GENERAL COUNSEL)
(615) 296-3000
Entity
Organization
Contact information
Practice address
6001 SW 6TH AVE, SUITE 100, TOPEKA, KS 66615-1011
(785) 272-8807
(785) 228-4733
Mailing address
6001 SW 6TH AVE, SUITE 100, TOPEKA, KS 66615-1011
(785) 272-8807
(785) 228-4733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S089006
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100450050A
—
KS
01
—
130554
BCBS
KS
01
—
4900569
RAILROAD MEDICARE
—
01
—
509220
FIRST GUARD
—
Enumeration date
07/11/2005
Last updated
06/20/2019
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