CITY PLACE SURGERY CENTER – NPI #1003110792
Clinic/Center

CITY PLACE SURGERY CENTER is an AHC clinic located in CREVE COEUR, MO. NPPES has assigned the NPI number 1003110792 to CITY PLACE SURGERY CENTER on January 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CITY PLACE SURGERY CENTER” is a dba name, the actual legal business name for this organization is CREVE COEUR SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on May 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CITY PLACE SURGERY CENTER below.

NPI Profile for
CREVE COEUR SURGERY CENTER, LLC

NPI Number
1003110792
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREVE COEUR SURGERY CENTER, LLC
Doing Business As (dba): CITY PLACE SURGERY CENTER
Primary location
845 N NEW BALLAS CT
SUITE 100
CREVE COEUR, MO 63141-7134
Phone: (314) 872-7100 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES EMMANUEL
BOARD MEMBER
Phone: (314) 997-1777
Updated
Certification Date
May 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MO 110-9

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.