Triad Surgery Center Llc, NPI 1043216617
Ambulatory Surgical Clinic/Center in Muskogee, OK, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1043216617 |
| NPI Entity Type | Organization |
| Provider Name |
Triad Surgery Center Llc
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 3131 Military Blvd, Muskogee, OK, US |
| Provider Mailing Address | 6140 S Memorial Dr, Tulsa, OK, US, 741331933 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Ryan Patrick Conley |
| Official Position | OWNER/MANAGER |
| Phone | 918-687-6600 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Ambulatory Surgical Clinic/Center |
| Classification | |
| Group | |
| License No. | 0061 |
| License State | OK |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 490004258 | OK | MEDICARE ID | 01 |
| 100738620C | OK | MEDICAID | 05 |
| CO5028 | OK | RAILROAD MEDICARE | 01 |
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