# ASC AT FHO

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

## Provider details

- **NPI number:** 1881294171
- **Authorized official:** DR. GERARD LIBRODO MD (OWNER)
- **Authorized official phone:** (316) 452-5113

## Contact information

- **Practice address:** 822 N ANDOVER RD, ANDOVER, KS 67002-9527
- **Practice address phone:** (316) 247-5499
- **Practice address fax:** (316) 295-2682
- **Mailing address:** PO BOX 189, ANDOVER, KS 67002-0189
- **Mailing address phone:** (316) 452-5113
- **Mailing address fax:** (316) 295-2682

## Taxonomy

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

## Other

- **Enumeration date:** 10/27/2020
- **Last updated:** 10/27/2020