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CMMP SURGICAL CENTER LLC , NPI 1528060704

Clinic/Center in JEFFERSON CITY, MO

Last Updated on : Apr 20,2008

CMMP SURGICAL CENTER LLC , NPI 1528060704

About CMMP SURGICAL CENTER LLC (NPI 1528060704)


CMMP SURGICAL CENTER LLC is a Clinic/Center in JEFFERSON CITY, United States with a focus in Ambulatory Surgical .

1528060704 is NPI number of CMMP SURGICAL CENTER LLC.

CMMP SURGICAL CENTER LLC's primary taxonomy code based on NPI Lookup is 261QA1903X with license number 95-6. This taxonomy code refers to Clinic/Center.

CMMP SURGICAL CENTER LLC current practice location address is 1705 CHRISTY DR, JEFFERSON CITY, MO. CMMP SURGICAL CENTER LLC can be reached out via phone at 573-635-7022 and via fax at 573-659-5443 .

You can also correspond with CMMP SURGICAL CENTER LLC through mail at mailing address 1705 CHRISTY DR, JEFFERSON CITY, MO, United States. Mailing address contact number is 573-635-7022.

The enumeration date of CMMP SURGICAL CENTER LLC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 15 years ago.

The authorized official of CMMP SURGICAL CENTER LLC is CARL DOERHOFF (Majority Physician Owner ). CARL DOERHOFF can be reached at 5736595401.

1528060704 NPI Information

Basic NPI information of CMMP SURGICAL CENTER LLC (NPI 1528060704) is provided below.

Name CMMP SURGICAL CENTER LLC
National Provider Id (NPI) 1528060704
Entity Type Organization
Practice Address 1705 CHRISTY DR, STE 100
JEFFERSON CITY, MO, United States
Practice Telephone 573-635-7022
Practice Fax Number 573-659-5443
Mailing Address 1705 CHRISTY DR , STE 100
JEFFERSON CITY, MO, United States
Mailing Telephone 573-635-7022
Mailing Fax Number 573-659-5443
Enumeration Date 01-Jun-2005
Last Updated Date 20-Apr-2008

CMMP SURGICAL CENTER LLC (NPI 1528060704) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 261QA1903X Clinic/Center, Ambulatory Surgical 95-6 MO

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
37 Other (non-Medicare) (01) MO BCBS of MO Prov Number
490002814 Other (non-Medicare) (01) MO Railroad Medicare Prov Nu
508098506 MEDICAID (05) MO
537147 Other (non-Medicare) (01) MO Healthlink Prov Number
6800140 Other (non-Medicare) (01) MO United Hlth Care Prov Num
========= Other (non-Medicare) (01) MO Federal Tax ID
=========CMM Other (non-Medicare) (01) MO Mercy Hlth Plan Prov Num

CMMP SURGICAL CENTER LLC (NPI 1528060704) Office Location

Office location of CMMP SURGICAL CENTER LLC is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1366785420 360 WELLNESS LLC Chiropractor 925 S COUNTRY CLUB DR, SUITE 3
JEFFERSON CITY, MO, United States
27-Mar-2013
1780163436 MARISSA RAE ABBOTT Counselor, Professional 1905 STADIUM BLVD,
JEFFERSON CITY, MO, United States
13-Aug-2018
1831133396 WILLIAM K ABBOTT Orthotic Fitter 1735 SOUTHWEST BLVD,
JEFFERSON CITY, MO, United States
15-Jun-2006
1598070377 AFSHEEN ISHAKU ABDULLAH PATEL Family Medicine 20 NE SAINT LUKES BLVD STE 200,
LEES SUMMIT, MO, United States
17-Aug-2010
1720275027 AMBER LYNN ABELN Nurse Practitioner, Adult Health 1241 W. STADIUM BLVD.,
JEFFERSON CITY, MO, United States
01-Oct-2007
1598151201 KATHY ABELN Counselor, Mental Health 227 METRO DR,
JEFFERSON CITY, MO, United States
09-Apr-2015
1376884155 ACCESS FOR INTERPRETATIONS &TRANSLATIONS OF HISPANIC SERVICE Interpreter 1609 SHADY CT,
JEFFERSON CITY, MO, United States
05-Mar-2013
1558334524 OSVALDO ACOSTA-RODRIGUEZ Physical Medicine & Rehabilitation 1500 SOUTHWEST BLVD, STE C CAPITAL REGION CORPORATE HEALTH CLINIC
JEFFERSON CITY, MO, United States
09-Feb-2006
1760837744 ACTION OUTSIDE Durable Medical Equipment & Medical Supplies PO BOX 158,
JEFFERSON CITY, MT, United States
27-Apr-2016
1477540102 ACTIVE REHAB LLC Occupational Therapist 2713A INDUSTRIAL DR,
JEFFERSON CITY, MO, United States
27-Sep-2005
1104873355 RABIE IBRAHIM ADAM-ELDIEN Emergency Medicine 4123 UNIVERSITY BLVD S, STE E
JACKSONVILLE, FL, United States
30-May-2006
1649617556 CARL ADAMS ADAMS Counselor, Professional 1803 SUN VALLEY DR, SUITE B
JEFFERSON CITY, MO, United States
31-May-2013
1881894392 DONNA MARIE ADAMS Counselor, Professional 1026 NORTHEAST DR STE B,
JEFFERSON CITY, MO, United States
23-Jul-2007
1245378371 ADAMS STREET PLACE, INC. Skilled Nursing Facility 1024 ADAMS ST,
JEFFERSON CITY, MO, United States
01-Feb-2007
1780105007 JENNIFER LYNN ADELMAN Registered Nurse, Pediatrics 1241 W STADIUM BLVD,
JEFFERSON CITY, MO, United States
28-Jun-2017
1427043124 DIANNA M. ADKISON Anesthesiology, Pain Medicine 1445 CHRISTY DR,
JEFFERSON CITY, MO, United States
19-Sep-2005
1164538229 RODNEY KENT ADKISON Internal Medicine 1125 MADISON ST, PO BOX 1128
JEFFERSON CITY, MO, United States
22-Aug-2006
1275737678 ADORNO ROGERS TECHNOLOGY Durable Medical Equipment & Medical Supplies, Customized Equipment PO BOX 81557,
AUSTIN, TX, United States
12-Jun-2007
1568621175 ADVANCED RADIOLOGY OF JEFFERSON CITY, LLC Radiology, Diagnostic Radiology 3218 W EDGEWOOD DR STE 200,
JEFFERSON CITY, MO, United States
09-Jun-2008
1538253588 AEROCARE HOME MEDICAL EQUIPMENT, INC Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies 3325 BARTLETT BLVD,
ORLANDO, FL, United States
03-Oct-2006

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1528060704?

1528060704 is the NPI number of CMMP SURGICAL CENTER LLC.

Where is CMMP SURGICAL CENTER LLC located?

CMMP SURGICAL CENTER LLC is located at 1705 CHRISTY DR, JEFFERSON CITY, MO.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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