# TALLGRASS SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TOPEKA HOSPITAL, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225036601
- **Legal business name:** TOPEKA HOSPITAL, LLC
- **Authorized official:** STEPHEN PETROVICH (EVP, GENERAL COUNSEL)
- **Authorized official phone:** (615) 296-3000

## Contact information

- **Practice address:** 6001 SW 6TH AVE, SUITE 100, TOPEKA, KS 66615-1011
- **Practice address phone:** (785) 272-8807
- **Practice address fax:** (785) 228-4733
- **Mailing address:** 6001 SW 6TH AVE, SUITE 100, TOPEKA, KS 66615-1011
- **Mailing address phone:** (785) 272-8807
- **Mailing address fax:** (785) 228-4733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S089006 | KS | Yes |

## Other

- **Enumeration date:** 07/11/2005
- **Last updated:** 06/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100450050A | — | KS |
| 01 | — | 130554 | BCBS | KS |
| 01 | — | 4900569 | RAILROAD MEDICARE | — |
| 01 | — | 509220 | FIRST GUARD | — |