# PHYSICIANS' SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1770581829
- **Authorized official:** DR. DANIEL KLOSTER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (913) 384-9600

## Contact information

- **Practice address:** 3840 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4126
- **Practice address phone:** (913) 384-9600
- **Practice address fax:** (913) 384-9646
- **Mailing address:** 3840 W 75TH ST, PRAIRIE VILLAGE, KS 66208-4126
- **Mailing address phone:** (913) 384-9600
- **Mailing address fax:** (913) 384-9646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S046015 | KS | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 05/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100396530A | — | KS |
| 01 | — | 17C0001047 | DEPT OF HEALTH & HUMAN SE | KS |
| 01 | — | 27008 | COVENTRY HEALTHCARE OF KS | KS |
| 01 | — | 55156 | HUMANA | KS |
| 01 | — | 90910016 | BLUE CROSS BLUE SHIELD | — |