Organization
NOVAMED SURGERY CENTER OF ST. JOSEPH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MACOMBER (EVP OF THE MANAGER)
(312) 664-4100
Entity
Organization
Contact information
Practice address
3201 ASHLAND AVE, SAINT JOSEPH, MO 64506-1504
(816) 279-0079
(816) 364-1100
Mailing address
1700 E HIGGINS RD, SUITE 240, DES PLAINES, IL 60018-5621
(847) 296-5700
(847) 296-5990
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
119-2
MO
Other
Enumeration date
08/09/2005
Last updated
08/22/2020
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