MASON CITY AMBULATORY SURGERY CENTER , LLC (NPI# 1902841398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902841398 |
| Entity Type | Organization |
| Organization Name | MASON CITY AMBULATORY SURGERY CENTER , LLC |
| Practice Address |
990 4th St Sw Mason City IA 50401-2861 |
| Mailing Address |
600 S Cliff Ave 106 Sioux Falls SD 57104-5353 |
| Practice Telephone | 6414942000 |
| Practice Fax Number | 6414942001 |
| Mailing Telephone | 8009699870 |
| Mailing Fax Number | 6053349044 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | MR. TYLER MICHAEL JOHANNS (ADMINISTRATOR) |
| Authorized Official Telephone | 6414942000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0610337 | 05 | |
| US DEPT OF LABOR | 611158400 | 01 | |
| UNITED HEALTH CARE | SD0101 | 01 | |
| BLUE CROSS & BLUE SHIELD | 61024 | 01 | |
| MIDLANDS CHOICE | F249491 | 01 | |
| HEALTH PARTNERS | 128273 | 01 | |
| HUMANA GOLD CHOICE | 16-C0001024 | 01 | |
| DAKOTACARE | 9239479 | 01 |
| Street Address |
990 4TH ST SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467010736 | Mercy Surgery Center LLC | Clinic/Center | 1195 Boyson Rd Ste 3, Hiawatha, IA 52233-2214 | 2019-06-03 |
| 1649748708 | Ankeny Medical Park Surgery Center Lc | Clinic/Center | 3625 N Ankeny Blvd Ste J, Ankeny, IA 50023-4610 | 2018-11-07 |
| 1922514421 | Westown Ambulatory Surgery Center | Clinic/Center | 1300 37th St Ste 3, West Des Moines, IA 50266-1900 | 2017-12-19 |
| 1255500781 | Iowa City Ambulatory Surgical Center, LLC | Clinic/Center | 2963 Northgate Dr, Iowa City, IA 52245-9571 | 2008-02-28 |
| 1699856260 | Alegent Health - Mercy Hospital, Corning Iowa | Clinic/Center | 603 Rosary Dr, Corning, IA 50841-1683 | 2006-10-18 |
| 1083638647 | West Des Moines Ambulatory Surgical Center Inc | Clinic/Center | 2425 Westown Pkwy Ste 200, West Des Moines, IA 50266 | 2006-07-27 |
| 1881651206 | Gateway Surgery Center, L.L.C. | Clinic/Center | 841 Springdale Dr, Clinton, IA 52732-3579 | 2006-04-28 |
| 1639135346 | Surgery Centers of Des Moines Ltd | Clinic/Center | 717 Lyon St, Des Moines, IA 50309-5458 | 2006-04-21 |
| 1780651075 | Fox Eye Surgery, LLC | Clinic/Center | 1138 H Ave Ne, Cedar Rapids, IA 52402-4624 | 2006-03-05 |
| 1447221486 | Orthopaedic Outpatient Surgery Center, LLC | Clinic/Center | 1600 60th St, West Des Moines, IA 50266-7700 | 2006-01-29 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on MASON CITY AMBULATORY SURGERY CENTER , LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.