Organization Name: | WEBSTER AMBULATORY SURGERY CENTER LP |
NPI Number: | 1235146325 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHERINE L REED (OFFICER, AUTHORIZED OFFICIAL) |
Mailing Address: | 520 S Elm Ave Webster Groves |
State: | MO US |
Postal Code: | 631193845 |
Phone Number: | 3149623464 |
Fax Number: | 3149620369 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 03/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 202-2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |