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PHYSICIAN SURGERY CENTER LLC
NPI 1710926589
Clinic/Center - Ambulatory Surgical in Rolla, MO

Active since June 06, 2006
1500 HIGHWAY 72 EAST, ROLLA, MO 65401(573) 426-6301(573) 426-6304 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Physician Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN SURGERY CENTER LLC (NPI 1710926589) is a healthcare organization registered as an ambulatory surgical in Rolla, Missouri and active in the NPI registry since June 2006. The organization lists Ann S Deters, Pres, as its authorized official.

NPPES Registry Identity

NPI1710926589
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIAN SURGERY CENTER LLC
Location Address1500 HIGHWAY 72 EASTRolla, MO 65401
Mailing AddressPo Box 1294, 1207 Network Centre BlvdEffingham, IL 62401 · (217) 342-2255 · Fax (217) 342-2619
Phone(573) 426-6301
Fax(573) 426-6304
Organization SubpartNo
Authorized OfficialAnn S DetersPres · (217) 342-2255
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 5, 2009
✔ NPI 1710926589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1500 HIGHWAY 72 EAST, Rolla, MO 65401
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Other Identifiers 14

Other168305Bcbs
Medicare PIN821695519
Medicare PIN000015519
Medicare ID-Type Unspecified000040056MO
Medicare PIN000040056
Medicare PIN490005696
OtherP00443325Railroad Medicare
Medicare PIN825845519
Other511377Healthlink
Other=========654010000Rr Medicare
Other514184Healthlink
Medicare PIN825575519
Medicare PIN000015487
Medicare PIN000082169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Surgery Center LLC's NPI number?

The NPI number for Physician Surgery Center LLC is 1710926589. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Physician Surgery Center LLC located?

Physician Surgery Center LLC is located at 1500 Highway 72 East, Rolla, MO 65401. The listed phone number is (573) 426-6301.

What is Physician Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Physician Surgery Center LLC was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.