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NPI Code Detail

MEDICARE: HEART OF AMERICA SURGERY CENTER, LLC

MEDICARE: HEART OF AMERICA SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterS046014KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114929411
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART OF AMERICA SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 8935 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1645
Country : US
Telephone Number : 913-334-8935
Fax Number : 913-334-8945
Provider Business Practice Location Address
First Line : 8935 STATE AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1645
Country : US
Telephone Number : 913-334-8935
Fax Number : 913-334-8945
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : MRS. SHARON K WETTERBERG
Credential :
Telephone Number : 913-334-8935
Provider Enumeration Date : 06/01/2005
Last Update Date : 02/01/2010

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Directions to “HEART OF AMERICA SURGERY CENTER, LLC ” Practice Location

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