Organization
SAINT LUKES SOUTH SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R MAGEE (BOARD MEMBER)
(913) 378-1400
Entity
Organization
Contact information
Practice address
12541 FOSTER, SUITE 120, OVERLAND PARK, KS 66213
(913) 378-1400
(913) 378-1401
Mailing address
12541 FOSTER ST, SUITE 120, OVERLAND PARK, KS 66213-2630
(913) 378-1400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134961402753
HUMANA
—
01
—
302782
COVENTRY
—
01
—
7540975
AETNA
—
01
—
91307013
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/19/2006
Last updated
04/16/2025
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