Provider Demographics
NPI:1942437504
Name:EPIC SURGERY CENTERS, LLC
Entity Type:Organization
Organization Name:EPIC SURGERY CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGERY AND BILLING SUPPORT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-671-3247
Mailing Address - Street 1:PO BOX 804954
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-4954
Mailing Address - Country:US
Mailing Address - Phone:913-671-3247
Mailing Address - Fax:913-671-3225
Practice Address - Street 1:11261 NALL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1676
Practice Address - Country:US
Practice Address - Phone:913-371-3290
Practice Address - Fax:913-371-3295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA1565Medicare PIN