TRI-STATE SURGERY CENTER, L.L.C.; NPI #1275530271

Contact Information

TRI-STATE SURGERY CENTER, L.L.C.

1500 ASSOCIATES DR
DUBUQUE, IA 52002-2201

Phone: 563-584-4536
Fax: 563-584-4526
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 TRI-STATE SURGERY CENTER, L.L.C.

NPI Number 1275530271

LBN Legal business name TRI-STATE SURGERY CENTER, L.L.C.

Authorized official BARBARA PERLETH - (BUSINESS OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2005

Last updated 05/31/2012 - About 14 years ago

Identifiers

IA	License #	261QA1903X
IA	Medicaid	0610139
IA	Other	61010	BC/BS PROVIDER NUMBER

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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TRI-STATE SURGERY CENTER, L.L.C.

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for TRI-STATE SURGERY CENTER, L.L.C.

Reviews for TRI-STATE SURGERY CENTER, L.L.C.