Organization
KC SURGICENTER, LLC
Active
Other names
Blue River Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G SWINNEY (VP)
(972) 789-2877
Entity
Organization
Contact information
Practice address
1318 E 104TH STREET, KANSAS CITY, MO 64131
(816) 256-5200
(816) 256-5199
Mailing address
1318 E 104TH STREET, KANSAS CITY, MO 64131
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
04/23/2025
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