Spring Park Surgery Center L L C

LBN: Spring Park Surgery Center L L C
Spring Park Surgery Center L L C is an health care organization with primary practice located at 3319 Spring St Ste 202A, Davenport IA 52807-2125. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Spring Park Surgery Center L L C can be contacted via phone (563) 355-6236, or through Masakowski, Katrina Mae via phone (563) 359-1716.

Contact Information

Primary practice address
3319 Spring St Ste 202A Davenport IA 52807-2125
Phone: (563) 355-6236
Fax: (563) 359-4634
Website:
Map and Directions
Authorized official contact:
Name: Masakowski, Katrina Mae
Phone: (563) 359-1716

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Iowa

Profile Details

NPI number 1073516795
LBN Legal business name Spring Park Surgery Center L L C
DBA Doing business as
Authorized official Masakowski, Katrina Mae
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Nov 30th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073516795 NPPES
Iowa MEDICAID 0610154
Iowa Other 61015
Iowa Other 490004256

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