Organization
CREEKWOOD SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (AUTHORIZED OFFICIAL/OFFICER)
(816) 455-4214
Entity
Organization
Contact information
Practice address
211 NE 54TH ST, SUITE 100, KANSAS CITY, MO 64118-4337
(816) 455-4214
(816) 455-4216
Mailing address
211 NE 54TH ST, SUITE 100, KANSAS CITY, MO 64118-4337
(816) 455-4214
(816) 455-4216
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
107.6
MO
Other
Enumeration date
01/19/2007
Last updated
01/06/2026
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