# BEACON WEST SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1598530578
- **Authorized official:** JUSTIN TURENTINE LPN (ADMINISTRATOR)
- **Authorized official phone:** (816) 786-4901

## Contact information

- **Practice address:** 11340 NALL AVENUE, SUITE 100, OVERLAND PARK, KS 66211
- **Practice address phone:** (816) 786-4901
- **Mailing address:** 11340 NALL AVE STE 100, OVERLAND PARK, KS 66211-1234
- **Mailing address phone:** (816) 579-1500

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 02/20/2024