STATELINE SURGERY CENTER, LLC (NPI# 1841431376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841431376 |
Entity Type | Organization |
Organization Name | STATELINE SURGERY CENTER, LLC |
Practice Address |
444 Four States Dr Suite 2 Galena KS 66739 |
Mailing Address |
Po Box 305 Weir KS 66781-0305 |
Practice Telephone | 4172067846 |
Mailing Telephone | 6203968414 |
Enumeration Date | 2009-03-12 |
Last Update Date | 2009-12-16 |
Authorized Official Name | JENNIFER L MORRIS (ADMINISTRATOR) |
Authorized Official Telephone | 4176259433 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
APPLYING | KS | Ambulatory Health Care Facilities |
Street Address |
444 FOUR STATES DR SUITE 2 |
City | GALENA |
State | KS |
Zip Code | 66739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861497117 | Robert F Stringer | Orthopaedic Surgery | 444 Four States Dr, Suite 1, Galena, KS 66739-4324 | 2005-06-14 |
1255973228 | Crystal L Ingle | Physical Therapy Assistant | 444 Four States Dr, Galena, KS 66739-4324 | 2019-10-11 |
1437523065 | Diva Intra-operative Monitoring LLC | Neurological Surgery | 444 Four States Dr, Galena, KS 66739-4324 | 2015-11-19 |
1417333543 | Danielle R Davidson | Nurse Anesthetist, Certified Registered | 444 Four States Dr, Suite 2, Galena, KS 66739-4324 | 2015-07-30 |
1609250083 | Keanon Walker | Nurse Anesthetist, Certified Registered | 444 Four States Dr, Suite 2, Galena, KS 66739-4324 | 2015-07-15 |
1174913123 | Joshua Sweet | Physician Assistant | 444 Four States Dr, Ste 1, Galena, KS 66739-4324 | 2015-01-29 |
1689081143 | Jonathan Bryan Sperry | Nurse Anesthetist, Certified Registered | 444 Four States Dr, Suite 1, Galena, KS 66739-4324 | 2014-07-16 |
1982036299 | Seth Elver Sewell | Nurse Practitioner | 444 Four States Dr, Ste 1, Galena, KS 66739-4324 | 2013-08-08 |
1922446681 | James P Bales | Physical Therapist | 444 Four States Dr, Suite 1, Galena, KS 66739-4324 | 2013-06-04 |
1619233574 | Paige A Dierks | Physical Therapy Assistant | 444 Four States Dr, Ste 1, Galena, KS 66739-4324 | 2012-04-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
1235262924 | Jessica Dawn Kirk | Nurse Practitioner | 444 Four States Dr., Galena, KS 66739 | 2007-03-13 |
1407086051 | Brent Wayne Mcbrien | Physical Therapy Assistant | 109 W Empire St, Galena, KS 66739-1013 | 2009-07-16 |
1801862719 | 252 Health Care Consultants Inc | Skilled Nursing Facility | 109 West Empire, Galena, KS 66739-1013 | 2006-02-28 |
1760094189 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 609 S Main St, Galena, KS 66739-1221 | 2020-08-18 |
1558699017 | Bazzano Clinic Pa | Family Medicine | 111 E 7th St, Galena, KS 66739-1229 | 2009-11-21 |
1063423150 | Stephen J Bazzano | Family Medicine | 111 E 7th St, Galena, KS 66739-1229 | 2006-08-11 |
1649403999 | Galena Usd499 | Local Education Agency (LEA) | 702 E 7th St, Galena, KS 66739-1704 | 2009-09-02 |
1609874387 | Galena Nursing & Rehab, LLC | Skilled Nursing Facility | 1220 E 8th St, Galena, KS 66739-1865 | 2005-07-07 |
1174809933 | Alisha N Kelly | Speech-Language Pathologist | 1220 E 8th St, Galena, KS 66739-1865 | 2011-10-25 |
Find all providers in zip 66739 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
1770147217 | Andover Ambulatory Surgery Center, LLC | Clinic/Center | 1124 W 21st St Ste 100, Andover, KS 67002-5500 | 2019-04-30 |
1255896676 | Ascentist Asc Merriam, LLC | Clinic/Center | 6815 Frontage Rd Ste B, Merriam, KS 66204-1291 | 2019-02-11 |
1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
1396238010 | Wichita Nephrology Group, Pa | Clinic/Center | 2122 N Garnett St, Wichita, KS 67206-3023 | 2018-06-07 |
1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
1740794973 | Epic Asc, LLC | Clinic/Center | 11261 Nall Ave Ste 200, Leawood, KS 66211-1669 | 2017-11-27 |
1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
1316470354 | Manhattan Specialists Center LLC | Clinic/Center | 202 Research Dr, Manhattan, KS 66503-3049 | 2017-04-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.