Organization Active NPI

Surgery Center of Farmington, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Farmington, MO
National Provider Identifier
1821074485
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
101-6 Issued in MO
Legal business name
SURGERY CENTER OF FARMINGTON, L.L.C.
Practice address
400 Parkland Dr
Farmington, MO 63640-2906
Phone
(573) 756-8000
Fax
(573) 756-8288
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Ann Young, R.N., C.A.S.C.
Title
Administrator
Phone
(573) 756-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 101-6 MO Primary

Addresses

Primary practice location

400 Parkland Dr
Farmington, MO 63640-2906

Mailing address

400 Parkland Dr
Farmington, MO 63640-2906
Phone (573) 756-8000

Other identifiers 1

IdentifierTypeStateIssuer
504759200MedicaidMO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgery Center of Farmington LLCCCN 26C0001054
Medicare certification status
Terminated Other: provider status change, Mar 29, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1821074485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARKLAND DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402906",
            "telephone_number": "573-756-8000",
            "fax_number": "573-756-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARKLAND DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402906",
            "telephone_number": "573-756-8000",
            "fax_number": "573-756-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF FARMINGTON, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-756-8000",
        "authorized_official_credential": "R.N., C.A.S.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "101-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504759200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.