Organization
ST. MARY'S SURGICAL CENTER LLC
Active
Other names
St. Mary's Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE L REED (OFFICER, AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization
Contact information
Practice address
203 NW R D MIZE RD, STE 218, BLUE SPRINGS, MO 64014-2510
(816) 874-4181
(816) 874-4375
Mailing address
203 NW R D MIZE RD, STE 218, BLUE SPRINGS, MO 64014-2510
(816) 874-4181
(816) 874-4375
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
156-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507521706
—
MO
01
—
P00218043
RAILROAD MEDICARE
MO
Enumeration date
07/19/2005
Last updated
04/14/2015
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