# NORTHWEST KANSAS SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275501512
- **Authorized official:** DR. RONALD RAY HOLWEGER M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (785) 650-0600

## Contact information

- **Practice address:** 1904 E 29TH STREET, HAYS, KS 67601-2008
- **Practice address phone:** (785) 650-0600
- **Practice address fax:** (785) 650-0143
- **Mailing address:** 1904 E 29TH STREET, HAYS, KS 67601-2008
- **Mailing address phone:** (785) 650-0600
- **Mailing address fax:** (785) 650-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S026001 | KS | Yes |

## Other

- **Enumeration date:** 03/11/2006
- **Last updated:** 10/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100381600A | — | KS |
| 01 | — | 112208 | BCBS | KS |