Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manchester Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1669574539

Manchester Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Des Peres, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1040 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone: (314) 775-2264
Fax: (314) 775-2271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 163-1 (MO)

Record details

NPI number1669574539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melanie Kofron — Administrator · (314) 775-2264
NPI enumeratedSeptember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1040 Old Des Peres Rd, Des Peres, MO 63131-1865

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