| Organization Name: | SEDALIA SURGERY CENTER, LLC |
| NPI Number: | 1063493443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHYLLIS FISCHER (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 3310 W 10th St Sedalia |
| State: | MO US |
| Postal Code: | 653012111 |
| Phone Number: | 6608294024 |
| Fax Number: | 6608292971 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 261QA1903X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |