Provider Demographics
NPI:1902049877
Name:HEART HEALTH CENTER AMBULATORY SURGERY CENTER. LLC
Entity Type:Organization
Organization Name:HEART HEALTH CENTER AMBULATORY SURGERY CENTER. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-993-6969
Mailing Address - Street 1:450 N NEW BALLAS RD
Mailing Address - Street 2:SUITE 170 WEST WING
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6835
Mailing Address - Country:US
Mailing Address - Phone:314-993-6969
Mailing Address - Fax:314-993-0792
Practice Address - Street 1:450 N NEW BALLAS RD
Practice Address - Street 2:SUITE 110 SOUTH WING
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6835
Practice Address - Country:US
Practice Address - Phone:314-993-6969
Practice Address - Fax:314-993-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty