MASON CITY AMBULATORY SURGERY CENTER, LLC; NPI #1902841398

Contact Information

MASON CITY AMBULATORY SURGERY CENTER, LLC

990 4TH ST SW
MASON CITY, IA 50401-2861

Phone: 641-494-2000
Fax: 641-494-2018
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 MASON CITY AMBULATORY SURGERY CENTER, LLC

NPI # 1902841398

LBN Legal business name MASON CITY AMBULATORY SURGERY CENTER, LLC

Authorized official TIMOTHY DETTMER - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/18/2006

Last updated 02/11/2026 - About 4 months ago

Identifiers

IA	Medicaid	0610337
	Other	61024	BLUE CROSS & BLUE SHIELD
	Other	9239479	DAKOTACARE
	Other	128273	HEALTH PARTNERS
	Other	16-C0001024	HUMANA GOLD CHOICE
	Other	F249491	MIDLANDS CHOICE
	Other	SD0101	UNITED HEALTH CARE
	Other	611158400	US DEPT OF LABOR

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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MASON CITY AMBULATORY SURGERY CENTER, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for MASON CITY AMBULATORY SURGERY CENTER, LLC

Reviews for MASON CITY AMBULATORY SURGERY CENTER, LLC