Spring Park Surgery Center L L C in Davenport - Ambulatory Surgical
Spring Park Surgery Center L L C - NPI 1073516795
Spring Park Surgery Center L L C is a Ambulatory Surgical in Davenport, Iowa. Spring Park Surgery Center L L C practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Spring Park Surgery Center L L C is 1073516795. The last update date is 2011-11-30.
Spring Park Surgery Center L L C's current location address is 3319 Spring St, Davenport, Iowa. You can contact this provider via phone number 5633556236 and fax number 5633594634. The mailing address for Spring Park Surgery Center L L C is 3319 Spring St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spring Park Surgery Center L L C |
|---|---|
| Address | 3319 Spring St, Davenport, Iowa |
| Phone Number | 5633556236 |
| Fax Number | 5633594634 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Masakowski Mae Katrina |
| Telephone Number | 5633591716 |
NPI Number Detail
| NPI Number | 1073516795 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 3319 Spring St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 5280721250 |
| Phone Number | 5633556236 |
| Fax Number | 5633594634 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 610154 | IA | -- | |
| 61015 | IA | WELLMARK BCBS | |
| 490004256 | IA | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Spring Park Surgery Center L L C by the Centers for Medicare & Medicaid Services?
The Spring Park Surgery Center L L C has been assigned the NPI (National Provider Identifier) 1073516795. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Spring Park Surgery Center L L C?
The Spring Park Surgery Center L L C is situated at 3319 Spring St, in the city of Davenport, state of IA, with the zip code 5280721250.
What is Spring Park Surgery Center L L C's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Spring Park Surgery Center L L C is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073516795 to Spring Park Surgery Center L L C?
The Centers for Medicare & Medicaid Services originally issued the 1073516795 to Spring Park Surgery Center L L C on 2005-05-27.
As of what date were the Spring Park Surgery Center L L C's details last updated?
The information pertaining to the Spring Park Surgery Center L L C, including its address, specialty, and other details, was most recently updated on 2011-11-30.