| Organization Name: | NORTH CAMPUS SURGERY CENTER, LLC |
| NPI Number: | 1073997144 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J MILNE (BOARD PRESIDENT) |
| Mailing Address: | 633 Emerson Rd Ste. 120 Creve Coeur |
| State: | MO US |
| Postal Code: | 631416739 |
| Phone Number: | 3149919922 |
| Fax Number: | 3149916794 |
| NPI Enumeration Date: | 07/17/2015 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | TBD |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |