Provider Demographics
NPI:1073581880
Name:AMBULATORY SURGERY CENTER LLC
Entity Type:Organization
Organization Name:AMBULATORY SURGERY CENTER LLC
Other - Org Name:THE CENTER FOR SAME DAY SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-262-7263
Mailing Address - Street 1:818 N EMPORIA
Mailing Address - Street 2:STE 108
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214
Mailing Address - Country:US
Mailing Address - Phone:316-262-7263
Mailing Address - Fax:316-262-6253
Practice Address - Street 1:818 N EMPORIA
Practice Address - Street 2:STE 108
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214
Practice Address - Country:US
Practice Address - Phone:316-262-7263
Practice Address - Fax:316-262-6253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100215840AMedicaid