# FT SCOTT SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1982211728
- **Authorized official:** MS. NANCY J GRAVES (ACCOUNTANT)
- **Authorized official phone:** (816) 729-5602

## Contact information

- **Practice address:** 918 HIGHWAY 69, FORT SCOTT, KS 66701-8885
- **Practice address phone:** (620) 223-0200
- **Mailing address:** 11184 ANTIOCH RD STE 356, OVERLAND PARK, KS 66210-2420
- **Mailing address phone:** (913) 787-6724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 12/23/2022