MIDWEST DIGESTIVE HEALTH CENTER LLC NPI 1558487009

NPI Information

NPI: 1558487009
Provider Name: MIDWEST DIGESTIVE HEALTH CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 26D1008851

Address:
3601 NE RALPH POWELL RD
LEES SUMMIT, MO
ZIP 64064
Phone: (816) 525-4440
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MIDWEST DIGESTIVE HEALTH CENTER LLC is an ambulatory surgical clinic center in Lees Summit, MO. MIDWEST DIGESTIVE HEALTH CENTER LLC NPI is 1558487009. The provider is registered as an organization entity type.

The provider's business location address is:

3601 NE RALPH POWELL RD
LEES SUMMIT, MO
ZIP 64064-358
Phone: (816) 525-4440
Fax: (816) 246-9887

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Authorized Official and has the following contact phone number (314) 800-2017.

The CLIA number assigned to this NPI record is 26D1008851 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy	121-2	MISSOURI	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	121-7	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00065059	OTHER	MISSOURI	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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