Organization
NORTHWEST KANSAS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RAY HOLWEGER M.D. (MEDICAL DIRECTOR)
(785) 650-0600
Entity
Organization
Contact information
Practice address
1904 E 29TH STREET, HAYS, KS 67601-2008
(785) 650-0600
(785) 650-0143
Mailing address
1904 E 29TH STREET, HAYS, KS 67601-2008
(785) 650-0600
(785) 650-0143
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S026001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381600A
—
KS
01
—
112208
BCBS
KS
Enumeration date
03/11/2006
Last updated
10/31/2013
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