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Contact Information

UNITED MEDICAL PARK ASC LLC
1731 W RIDGEWAY AVE
WATERLOO, IA50701-4595
 Phone: 319-833-5858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for UNITED MEDICAL PARK ASC LLC

NPI # 1881238632
LBN Legal business name UNITED MEDICAL PARK ASC LLC
Authorized official LEE ANNE BLACKWELL - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2019
Last updated 11/05/2019 - About 7 years ago
Identifiers n/a
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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