institution
Northeast Missouri Ambulatory Surgery Center Llc
Ambulatory Surgical Clinic/Center in Hannibal, Missouri
NPI 1710982699

Northeast Missouri Ambulatory Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Hannibal, MO and is specialized in Ambulatory Surgical. Northeast Missouri Ambulatory Surgery Center Llc practices in Hannibal, MO. The NPI Number for Northeast Missouri Ambulatory Surgery Center Llc is 1710982699 and holds a License No. 108 (Missouri).

The current practice location address for Northeast Missouri Ambulatory Surgery Center Llc is 98 Medical Drive, Hannibal, MO and can be reached out via phone at 573-406-1301 and via fax at 573-406-0511. You can also correspond with Northeast Missouri Ambulatory Surgery Center Llc through the mailing address at PO BOX 511, HANNIBAL, MO - 63401-0511 (mailing address contact number: 573-406-1301).

Location: 98 Medical Drive, Hannibal, MO, 63401-0511
institution
Provider Profile Details
NPI Number
1710982699
Provider Name
Northeast Missouri Ambulatory Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
98 Medical Drive, Hannibal, MO, 63401-0511
Phone Number
573-406-1301
Fax Number
573-406-0511
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431607 01 MO HEALTHLINK PROVIDER ID
490004674 01 MO RAILROAD MEDICARE
505073205 05 MO
143365 01 MO BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
98 Medical Drive
City
State
Zip
63401
Phone Number
573-406-1301
Fax Number
573-406-0511
person
Provider Business Mailing Address Details
Address
98 Medical Drive
City
State
Zip
63401
Phone Number
573-406-1301
Fax Number
573-406-0511
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
108 (Missouri)
Definition
Definition to come...
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