Organization
MERCURY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIKOR O PARTAMIAN MD (PRESIDENT)
(816) 232-8877
Entity
Organization
Contact information
Practice address
901 HEARTLAND DRIVE, SUITE 1820, ST JOSEPH, MO 64506-6201
(816) 364-2772
(816) 364-6620
Mailing address
901 HEARTLAND DRIVE, SUITE 1820, ST JOSEPH, MO 64506-6201
(816) 364-2772
(816) 364-6620
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1730
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372560A
—
KS
01
—
500183504
MEDICAID
MO
Enumeration date
09/07/2006
Last updated
06/13/2013
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