THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC NPI 1124022595

NPI Information

THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC is an ambulatory surgical clinic center in Cedar Rapids, IA. THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC NPI is 1124022595. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center Cedar Rapids.

The provider's business location address is:

1075 1ST AVENUE SE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 558-4800
Fax: (319) 558-4806

The provider's authorized official is Kallemeyn Scott .
The authorized official title is Executive Director and has the following contact phone number (319) 558-4801.

The CLIA number assigned to this NPI record is 16D1013448 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 1/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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