Provider Demographics
NPI:1629053228
Name:MANHATTAN SURGICAL HOSPITAL LLC
Entity Type:Organization
Organization Name:MANHATTAN SURGICAL HOSPITAL LLC
Other - Org Name:MANHATTAN SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-776-2584
Mailing Address - Street 1:1829 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-3381
Mailing Address - Country:US
Mailing Address - Phone:785-776-5100
Mailing Address - Fax:785-776-5101
Practice Address - Street 1:1829 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-3381
Practice Address - Country:US
Practice Address - Phone:785-776-5100
Practice Address - Fax:785-776-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-07
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH075004284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1502OtherBLUE CROSS OF KANSAS
KS100389670AMedicaid
KS395440OtherFIRST GUARD
KS100389670AMedicaid
KS395440OtherFIRST GUARD