Great Lakes Surgery Center, Lc

LBN: Great Lakes Surgery Center, Lc
Great Lakes Surgery Center, Lc is an health care organization with primary practice located at 116 E 11Th St Suite 202, Spencer IA 51301-4364. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Great Lakes Surgery Center, Lc can be contacted via phone (712) 262-7350, or through Synhorst, John Benjamin via phone (712) 262-7350.

Contact Information

Primary practice address
116 E 11Th St Suite 202 Spencer IA 51301-4364
Phone: (712) 262-7350
Fax: (712) 262-7351
Website:
Map and Directions
Authorized official contact:
Name: Synhorst, John Benjamin Doctor of Dental Surgery (DDS)
Phone: (712) 262-7350

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1588726996
LBN Legal business name Great Lakes Surgery Center, Lc
DBA Doing business as Great Lakes Surgery Center, Lc
Authorized official Synhorst, John Benjamin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Mar 23rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588726996 NPPES
Iowa MEDICAID 0610345

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