# SURGICAL CENTER AT COLUMBIA ORTHOPAEDIC GROUP LLC

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

## Provider details

- **NPI number:** 1831360247
- **Authorized official:** LISA LEATHERS BSN, RN (CEO/ ADMINISTRATOR)
- **Authorized official phone:** (573) 424-1374

## Contact information

- **Practice address:** 1 SOUTH KEENE, COLUMBIA, MO 65201-6645
- **Practice address phone:** (573) 499-6501
- **Practice address fax:** (573) 499-6502
- **Mailing address:** 1 S KEENE ST, COLUMBIA, MO 65201-7199
- **Mailing address phone:** (573) 499-6501
- **Mailing address fax:** (573) 499-6502

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 01/08/2026