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Contact Information

PIERCE STREET SAME DAY SURGERY, LC
2730 PIERCE ST
SIOUX CITY, IA51104-3796
 Phone: 712-294-7773
 Fax: 712-279-7958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for PIERCE STREET SAME DAY SURGERY, LC

NPI Number 1205030731
LBN Legal business name PIERCE STREET SAME DAY SURGERY, LC
Authorized official CRAIG BRYAN - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2007
Last updated 01/14/2026 - About 5 months ago
Identifiers
IA Medicaid 1205030731
NE Medicaid 10025588200
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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