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Olive Ambulatory Surgery Center, LLC

Ambulatory Surgical Clinic/Center in Saint Louis, MO · enumerated 2006 · authorized official Jenetha Moran, Officer / Authorized Official.

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

National Provider Identifier

1588739858

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Registry record

Entity type Organization (Type 2)
Legal business name Olive Ambulatory Surgery Center, LLC
Other name <Unavail>
Practice address 12101 Woodcrest Executive Dr, Ste 101, Saint Louis, MO, 63141
Phone (314) 576-4500
Fax (314) 576-4503
Enumeration date Nov 22, 2006
Last updated in NPPES Jan 5, 2017

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 177 (MO) Primary

Authorized official

Name Jenetha Moran
Title Officer / Authorized Official
Phone (972) 763-3893

Other identifiers

Identifier Type State Issuer
507784403 Medicaid MO -

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 is the NPI number for Olive Ambulatory Surgery Center, LLC?
The NPI for Olive Ambulatory Surgery Center, LLC is 1588739858, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Olive Ambulatory Surgery Center, LLC?
NPPES lists Jenetha Moran (Officer / Authorized Official) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-05.