West Lakes Surgery Center Llc in Clive - Ambulatory Surgical
West Lakes Surgery Center Llc - NPI 1104933696
West Lakes Surgery Center Llc is a Ambulatory Surgical in Clive, Iowa. West Lakes Surgery Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for West Lakes Surgery Center Llc is 1104933696. The last update date is 2020-06-04.
West Lakes Surgery Center Llc's current location address is 12499 University Ave, Clive, Iowa. You can contact this provider via phone number 5159745050. The mailing address for West Lakes Surgery Center Llc is 12499 University Ave, Clive, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Lakes Surgery Center Llc |
|---|---|
| Address | 12499 University Ave, Clive, Iowa |
| Phone Number | 5159745050 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Formanek S Teri |
| Credentials | M.D. |
| Telephone Number | 5153271555 |
NPI Number Detail
| NPI Number | 1104933696 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-06-04 |
Provider Mailing Address Detail
| Address | 12499 University Ave |
|---|---|
| City | Clive |
| State | Iowa (IA) |
| Post Code | 503258281 |
| Phone Number | 5159745050 |
| Fax Number |
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 |
|---|---|---|---|
| 610352 | IA | -- | |
| 61026 | IA | FEDERAL EMPLOYEES HEALTH | |
| F252394 | IA | CARPENTERS DISTRICT COUN | |
| F252394 | IA | CIGNA | |
| 61026 | IA | WELLMARK BCBS | |
| F252394 | IA | MIDLANDS AETNA | |
| 61026 | IA | WELLMARK HEALTH PLANS IA |
Post Comment/ Review Below
What is the unique identifier code issued to West Lakes Surgery Center Llc by the Centers for Medicare & Medicaid Services?
The West Lakes Surgery Center Llc has been assigned the NPI (National Provider Identifier) 1104933696. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the West Lakes Surgery Center Llc's physical address?
The West Lakes Surgery Center Llc is physically located at 12499 University Ave, in the city of Clive, IA, with the postal code 503258281.
What is West Lakes Surgery Center Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for West Lakes Surgery Center Llc is Ambulatory Surgical, and the taxonomy classification code that categorizes this area of expertise is 261Qa1903X.
When did the West Lakes Surgery Center Llc receive its 1104933696?
The West Lakes Surgery Center Llc was issued its 1104933696 on 2006-08-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to West Lakes Surgery Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to West Lakes Surgery Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-04.