Healthcare Provider Details

I. General information

NPI: 1326692070
Provider Name (Legal Business Name): MANHATTAN SURGICAL HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 COLLEGE AVE
MANHATTAN KS
66502-3381
US

IV. Provider business mailing address

1829 COLLEGE AVE
MANHATTAN KS
66502-3381
US

V. Phone/Fax

Practice location:
  • Phone: 785-776-5100
  • Fax: 785-776-5101
Mailing address:
  • Phone: 785-776-5100
  • Fax: 785-776-5101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA WESTCOTT
Title or Position: CEO
Credential:
Phone: 785-776-5100