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Physician Surgery Center

NPI 1396991337ActiveOrganization· Clinic/Center, Multi-Specialty· Rolla, MO

Clinic/Center, Multi-Specialty in Rolla, Missouri, registered in NPPES in August 2008. The authorized official on file is Ann Deters, President.

Overview

NPI1396991337
StatusActive
Entity typeOrganization
NPI issuedAug 11, 2008
Last updated in NPPESAug 11, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Multi-Specialty Primary261QM1300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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