West Lakes Surgery Center Llc
LBN: West Lakes Surgery Center Llc
West Lakes Surgery Center Llc is an health care organization with primary practice located at 12499 University Ave Suite 100, Clive IA 50325-8281. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
West Lakes Surgery Center Llc can be contacted via phone (515) 974-5050, or through Formanek, Teri S via phone (515) 327-1555.
Contact Information
Primary practice address
12499 University Ave Suite 100
Clive IA 50325-8281
Phone: (515) 974-5050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | NA |
Profile Details
| NPI number | 1104933696 |
|---|---|
| LBN Legal business name | West Lakes Surgery Center Llc |
| DBA Doing business as | |
| Authorized official | Formanek, Teri S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jun 4th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104933696 | NPPES |
| Iowa | MEDICAID | 0610352 | |
| Iowa | Other | 61026 | |
| Iowa | Other | F252394 | |
| Iowa | Other | F252394 | |
| Iowa | Other | 61026 | |
| Iowa | Other | F252394 | |
| Iowa | Other | 61026 |
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