Organization
CENTURY SURGICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PATTERSON (ADMINISTRATOR)
(620) 231-9072
Entity
Organization
Contact information
Practice address
100 N PINE ST, PITTSBURG, KS 66762-4744
(620) 231-9072
Mailing address
100 N PINE ST, PITTSBURG, KS 66762-4744
(620) 231-9072
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S019001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359200A
—
KS
01
—
130274
KS BLUE CROSS BLUE SHIELD
KS
05
—
464183
—
KS
Enumeration date
11/15/2006
Last updated
11/17/2011
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