Organization
SURGERY CENTER OF COLUMBIA LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
305 N KEENE ST, STE 107, COLUMBIA, MO 65201-6897
(573) 256-6272
(573) 256-6304
Mailing address
305 N KEENE ST, STE 107, COLUMBIA, MO 65201-6897
(573) 256-6272
(573) 256-6304
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185-18
STATE LICENSE
—
05
—
507492205
—
MO
Enumeration date
08/12/2006
Last updated
03/04/2025
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