| Organization Name: | CEDAR OAKS SURGERY CENTER LLC |
| NPI Number: | 1275564346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK HECHLER (MEDICAL DIRECTOR) |
| Mailing Address: | 706 N Burkarth Rd Warrensburg |
| State: | MO US |
| Postal Code: | 640939303 |
| Phone Number: | 6607478868 |
| Fax Number: | 6607475481 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 165-0 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |