NOVAMED SURGERY CENTER OF WARRENSBURG LLC NPI 1962580266

NPI Information

NPI: 1962580266
Provider Name: NOVAMED SURGERY CENTER OF WARRENSBURG LLC

Doing Business As: EYE SURGERY CENTER OF WARRENSBURG

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
506 BURKARTH RD
SUITE B
WARRENSBURG, MO
ZIP 64093
Phone: (660) 747-1888
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NOVAMED SURGERY CENTER OF WARRENSBURG LLC is an ambulatory surgical clinic center in Warrensburg, MO. NOVAMED SURGERY CENTER OF WARRENSBURG LLC NPI is 1962580266. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Surgery Center Of Warrensburg.

The provider's business location address is:

506 BURKARTH RD
SUITE B
WARRENSBURG, MO
ZIP 64093-104
Phone: (660) 747-1888
Fax: (660) 747-1223

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 26D1064954 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/28/2022.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	194-0	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	P00387087	OTHER		RR MEDICARE
2	508849205	MEDICAID	MISSOURI

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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