GATEWAY SURGERY CENTER, L.L.C.; NPI #1881651206

Contact Information

GATEWAY SURGERY CENTER, L.L.C.

841 SPRINGDALE DR
CLINTON, IA 52732-3579

Phone: 563-244-9955
Fax: 563-243-3461
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 GATEWAY SURGERY CENTER, L.L.C.

NPI Number 1881651206

LBN Legal business name GATEWAY SURGERY CENTER, L.L.C.

Authorized official THOMAS MOSER - (CHIEF OPERATING OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/28/2006

Last updated 03/15/2013 - About 13 years ago

Identifiers

IA	Medicaid	0610105
IA	Other	60010	WELLMARK BC/GS

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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