Organization
NOVAMED SURGERY CENTER OF WARRENSBURG LLC
Active
Other names
Eye Surgery Center of Warrensburg
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
506 BURKARTH RD, SUITE B, WARRENSBURG, MO 64093-3104
(660) 747-1888
(660) 747-1223
Mailing address
506 BURKARTH RD, WARRENSBURG, MO 64093-3104
(660) 747-1888
(660) 747-1223
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
194-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508849205
—
MO
01
—
P00387087
RR MEDICARE
—
Enumeration date
11/02/2006
Last updated
10/28/2022
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