PHYSICIAN SURGERY CENTER LLC – NPI #1710926589
Clinic/Center

PHYSICIAN SURGERY CENTER LLC is an AHC clinic located in ROLLA, MO. NPPES has assigned the NPI number 1710926589 to PHYSICIAN SURGERY CENTER LLC on June 06, 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 17 years ago on Aug 05, 2009. 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 PHYSICIAN SURGERY CENTER LLC below.

NPI Profile for
PHYSICIAN SURGERY CENTER LLC

NPI Number
1710926589
Enumeration Date

(more than 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
PHYSICIAN SURGERY CENTER LLC
Primary location
1500 HIGHWAY 72 EAST
ROLLA, MO 65401
Phone: (573) 426-6301 Fax: (573) 426-6304
Mailing address
PO BOX 1294
1207 NETWORK CENTRE BLVD
EFFINGHAM, IL 62401
Phone: (217) 342-2255 Fax: (217) 342-2619
Organization Subpart
No
Authorized Official
ANN DETERS
PRES
Phone: (217) 342-2255
Updated
Identifiers

Identifiers for PHYSICIAN SURGERY CENTER LLC

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
OTHERBCBS168305
OTHERHEALTHLINK511377
OTHERHEALTHLINK514184
OTHERRAILROAD MEDICAREP00443325
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.