OLIVE SURGERY CENTER – NPI #1538198619
Clinic/Center

OLIVE SURGERY CENTER is an AHC clinic located in CREVE COEUR, MO. NPPES has assigned the NPI number 1538198619 to OLIVE SURGERY CENTER on July 01, 2006. 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 19 years ago on Dec 06, 2007. 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 OLIVE SURGERY CENTER below.

NPI Profile for
OLIVE SURGERY CENTER

NPI Number
1538198619
Enumeration Date

(about 20 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
OLIVE SURGERY CENTER
Primary location
12101 WOODCREST EXECUTIVE DR STE 101
CREVE COEUR, MO 63141-5047
Phone: (314) 576-4500 Fax:
Mailing address
12101 WOODCREST EXECUTIVE DR. SUITE 101
CREVE COEUR, MO 63141
Phone: (314) 576-4500 Fax: (314) 576-4503
Organization Subpart
No
Authorized Official
LUANN BROWN
DIVISION VP
Phone: (404) 906-1510
Updated
Identifiers

Identifiers for OLIVE SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDAK201928
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 177-0

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.