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Organization
ST. MARY'S SURGICAL CENTER LLC
Active
Organization
ST. MARY'S SURGICAL CENTER LLC
Active
Other names
St. Mary's Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE L REED (OFFICER, AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization
Contact information
Practice address
203 NW R D MIZE RD, STE 218, BLUE SPRINGS, MO 64014-2510
(816) 874-4181
(816) 874-4375
Mailing address
203 NW R D MIZE RD, STE 218, BLUE SPRINGS, MO 64014-2510
(816) 874-4181
(816) 874-4375
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
156-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507521706
—
MO
01
—
P00218043
RAILROAD MEDICARE
MO
Enumeration date
07/19/2005
Last updated
04/14/2015
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