CENTRIC AMBULATORY SURGERY CENTER LLC – NPI #1487158796
Clinic/Center

CENTRIC AMBULATORY SURGERY CENTER LLC is an AHC clinic located in MOBERLY, MO. NPPES has assigned the NPI number 1487158796 to CENTRIC AMBULATORY SURGERY CENTER LLC on March 21, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 8 years ago on Mar 22, 2018. 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 CENTRIC AMBULATORY SURGERY CENTER LLC below.

NPI Profile for
CENTRIC AMBULATORY SURGERY CENTER LLC

NPI Number
1487158796
Enumeration Date

(more than 8 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
CENTRIC AMBULATORY SURGERY CENTER LLC
Primary location
2103 SILVA LN
MOBERLY, MO 65270-3660
Phone: (660) 616-0022 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANJEEV RAVIPUDI
OWNER
Phone: (626) 394-6299
Updated
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)

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.