Organization
ANDOVER AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN HADLEY (CHIEF FINANCIAL OFFICER)
(316) 440-3200
Entity
Organization
Contact information
Practice address
1124 W 21ST ST STE 100, ANDOVER, KS 67002-5500
(316) 440-3200
(316) 440-3255
Mailing address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(316) 201-6999
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
09/08/2020
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