# ADVANCED AMBULATORY SURGICAL CARE, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Surgical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578566758
- **Authorized official:** CHRIS HARTSHORN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (314) 800-2017

## Contact information

- **Practice address:** 10448 OLD OLIVE STREET RD, STE 100, CREVE COEUR, MO 63141
- **Practice address phone:** (314) 743-8091
- **Practice address fax:** (314) 743-8092
- **Mailing address:** 10448 OLD OLIVE STREET RD, STE 100, CREVE COEUR, MO 63141-5927
- **Mailing address phone:** (314) 743-8091
- **Mailing address fax:** (314) 743-8092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 178 | MO | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 09/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 192542 | BC/BS | — |
| 01 | — | 270644 | GHP | — |
| 05 | — | 507008902 | — | MO |
| 01 | — | 571197738 | TRICARE | MO |
| 01 | — | 688642 | HEALTHLINK | — |
| 01 | — | P00181748 | RR MEDICARE | MO |