SPRING PARK SURGERY CENTER L L C; NPI #1073516795

Contact Information

SPRING PARK SURGERY CENTER L L C

3319 SPRING ST
STE 202A
DAVENPORT, IA 52807-2125

Phone: 563-355-6236
Fax: 563-359-4634
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for SPRING PARK SURGERY CENTER L L C

NPI Number 1073516795

LBN Legal business name SPRING PARK SURGERY CENTER L L C

Authorized official KATRINA MASAKOWSKI - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2005

Last updated 11/30/2011 - About 15 years ago

Identifiers

IA	Medicaid	0610154
IA	Other	490004256	MEDICARE RAILROAD
IA	Other	61015	WELLMARK BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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