Organization
HEART OF AMERICA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON K WETTERBERG (BUSINESS OFFICE MANAGER)
(913) 334-8935
Entity
Organization
Contact information
Practice address
8935 STATE AVE, KANSAS CITY, KS 66112-1645
(913) 334-8935
(913) 334-8945
Mailing address
8935 STATE AVE, KANSAS CITY, KS 66112-1645
(913) 334-8935
(913) 334-8945
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S046014
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100358140A
—
KS
Enumeration date
06/01/2005
Last updated
02/01/2010
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