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Organization

BRIARCLIFF AMBULATORY SURGERY CENTER LP

Active
Other names
Briarcliff Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER HARTSHORN (AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization

Contact information

Practice address
4150 N MULBERRY DR, STE 100, KANSAS CITY, MO 64116-1779
(816) 214-4364
(816) 214-4371
Mailing address
4150 N MULBERRY DR, STE 100, KANSAS CITY, MO 64116-1779
(816) 214-4364
(816) 214-4371

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
162-1
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
507436400
MO
01
613892100
US DEPT OF LABOR
MO
01
91261011
BCBS
MO
01
P00253038
MEDICARE RR
MO
Enumeration date
02/14/2007
Last updated
10/04/2024
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