DES PERES SQUARE SURGERY CENTER – NPI #1740673953
Clinic/Center

DES PERES SQUARE SURGERY CENTER is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1740673953 to DES PERES SQUARE SURGERY CENTER on March 12, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DES PERES SQUARE SURGERY CENTER” is a dba name, the actual legal business name for this organization is MANCHESTER AMBULATORY SURGERY CENTER LP. 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 last updated on Oct 11, 2024. 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 DES PERES SQUARE SURGERY CENTER below.

NPI Profile for
MANCHESTER AMBULATORY SURGERY CENTER LP

NPI Number
1740673953
Enumeration Date

(more than 11 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
MANCHESTER AMBULATORY SURGERY CENTER LP
Doing Business As (dba): DES PERES SQUARE SURGERY CENTER
Primary location
1050 OLD DES PERES RD
SUITE 150
SAINT LOUIS, MO 63131-1873
Phone: (314) 569-2918 Fax: (314) 569-9473
Mailing address
1050 OLD DES PERES RD STE 150
SAINT LOUIS, MO 63131-1874
Phone: (314) 569-2918 Fax: (314) 569-9473
Organization Subpart
No
Authorized Official
CHRISTOPHER HARTSHORN
OFFICER/AUTHORIZED OFFICIAL
Phone: (314) 800-2017
Updated
Certification Date
Oct 11, 2024

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.

Identifiers

Identifiers for DES PERES SQUARE 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
otherLICENSEMO171
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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669