1083717086 NPI number — TOPEKA SINGLE DAY SURGERY, INC.

Table of content: (NPI 1083717086)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083717086 NPI number — TOPEKA SINGLE DAY SURGERY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOPEKA SINGLE DAY SURGERY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083717086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
823 SW MULVANE ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
TOPEKA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66606-1764
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-354-8737
Provider Business Mailing Address Fax Number:
785-354-1440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
823 SW MULVANE ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-1764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-354-8737
Provider Business Practice Location Address Fax Number:
785-354-1440
Provider Enumeration Date:
09/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WHEELER
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
785-354-8737

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  S-089-003 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 14311 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com