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Surgery Center of St. Joseph, LLC

Ambulatory Surgical Clinic/Center in Saint Joseph, MO · enumerated 2006 · authorized official Angela Fry, Clinic Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104857523

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Registry record

Entity type Organization (Type 2)
Legal business name Surgery Center of St. Joseph, LLC
Practice address 3201 Ashland Ave, Saint Joseph, MO, 64506
Phone (816) 279-0079
Fax (816) 364-1100
Enumeration date Jul 5, 2006
Last updated in NPPES Apr 5, 2012

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 119-3 (MO) Primary

Authorized official

Name Angela Fry
Title Clinic Director
Phone (816) 279-0079

Other identifiers

Identifier Type State Issuer
502343502 Medicaid MO -
26C0001012 Other MO MEDICARE SUPPLIER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Surgery Center of St. Joseph, LLC?
Surgery Center of St. Joseph, LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-05.