BALLAS OUTPATIENT SURGERY CENTER LP NPI 1114989589

NPI Information

NPI: 1114989589
Provider Name: BALLAS OUTPATIENT SURGERY CENTER LP

Former Legal Business Name: HEALTHSOUTH BALLAS OUTPATIENT SURGERY CENTER, L.P.

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

Specialization: Ambulatory Surgical

Address:
450 N NEW BALLAS RD
STE 103
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-0776
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BALLAS OUTPATIENT SURGERY CENTER LP is an ambulatory surgical clinic center in Saint Louis, MO. BALLAS OUTPATIENT SURGERY CENTER LP NPI is 1114989589. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Healthsouth Ballas Outpatient Surgery Center, L.p..

The provider's business location address is:

450 N NEW BALLAS RD
STE 103
SAINT LOUIS, MO
ZIP 63141-835
Phone: (314) 991-0776

The provider's authorized official is Richard L Sharff .
The authorized official title is Vp/secreatary and has the following contact phone number (205) 545-2572.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 5/28/2009.

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			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
1	P00353711	MEDICARE PIN
2	507697704	MEDICAID	MISSOURI
3	000040006	MEDICARE PIN	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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