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Organization
NORTHWEST KANSAS SURGERY CENTER, LLC
Active
Organization
NORTHWEST KANSAS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RAY HOLWEGER M.D. (MEDICAL DIRECTOR)
(785) 650-0600
Entity
Organization
Contact information
Practice address
1904 E 29TH STREET, HAYS, KS 67601-2008
(785) 650-0600
(785) 650-0143
Mailing address
1904 E 29TH STREET, HAYS, KS 67601-2008
(785) 650-0600
(785) 650-0143
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S026001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381600A
—
KS
01
—
112208
BCBS
KS
Enumeration date
03/11/2006
Last updated
10/31/2013
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