Organization
MID RIVERS AMBULATORY SURGERY CENTER LP
Active
Other names
Mid Rivers Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AO)
(314) 800-2017
Entity
Organization
Contact information
Practice address
5401 VETERANS MEMORIAL PKWY, STE 100, SAINT PETERS, MO 63376-1680
(636) 441-0906
(636) 928-9288
Mailing address
5401 VETERANS MEMORIAL PKWY, STE 100, SAINT PETERS, MO 63376-1680
(636) 441-0906
(636) 928-9288
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
175
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509262606
—
MO
Enumeration date
05/24/2005
Last updated
10/11/2024
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