LAKEVIEW SURGERY CENTER LC
Surgery Yellow Pages
West Des Moines, Iowa
Provider NPI: 1003807835
Organization Information:Organization Name: LAKEVIEW SURGERY CENTER LC
Practice Location:
1750 60TH STREET WEST DES MOINES, IA 50266 US
Tel: 515-273-5240 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1750 60TH STREET WEST DES MOINES, IA 50266 US
Tel: 515-273-5240 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | IA | |
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE SHIELD PROVIDER NUMB | 61002 | IA | 01 |
0610089 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin