Organization
CEDAR OAKS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HECHLER D.O. (MEDICAL DIRECTOR)
(660) 747-8868
Entity
Organization
Contact information
Practice address
706 N BURKARTH RD, WARRENSBURG, MO 64093-9303
(660) 747-8868
(660) 747-5481
Mailing address
706 N BURKARTH RD, WARRENSBURG, MO 64093-9303
(660) 747-8868
(660) 747-5481
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
165-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507502300
—
MO
01
—
91254019
BLUE CROSS BLUE SHIELD KC
—
01
—
P00275083
RAILROAD MEDICARE
—
Enumeration date
07/06/2006
Last updated
04/30/2013
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