# STATELINE SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841431376
- **Authorized official:** JENNIFER L MORRIS (ADMINISTRATOR)
- **Authorized official phone:** (417) 625-9433

## Contact information

- **Practice address:** 444 FOUR STATES DR, SUITE 2, GALENA, KS 66739
- **Practice address phone:** (417) 206-7846
- **Mailing address:** PO BOX 305, WEIR, KS 66781-0305
- **Mailing address phone:** (620) 396-8414

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 12/16/2009