ADVANCED SURGERY CENTER OF CENTRAL IOWA LLC NPI 1174999700

NPI Information

NPI: 1174999700
Provider Name: ADVANCED SURGERY CENTER OF CENTRAL IOWA, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 16D2157692

Address:
1455 29TH ST
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 537-1222
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ADVANCED SURGERY CENTER OF CENTRAL IOWA, LLC is an ambulatory surgical clinic center in West Des Moines, IA. ADVANCED SURGERY CENTER OF CENTRAL IOWA, LLC NPI is 1174999700. The provider is registered as an organization entity type.

The provider's business location address is:

1455 29TH ST
WEST DES MOINES, IA
ZIP 50266-302
Phone: (515) 537-1222
Fax: (515) 225-1673

The provider's authorized official is Douglas R Hoisington .
The authorized official title is Chief Executive Officer and has the following contact phone number (515) 537-1224.

The CLIA number assigned to this NPI record is 16D2157692 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2015 and was last updated on 1/30/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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