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Organization
MASON CITY AMBULATORY SURGERY CENTER, LLC
Active
Organization
MASON CITY AMBULATORY SURGERY CENTER, LLC
Active
Other names
Mason City Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DETTMER MD (MEDICAL DIRECTOR)
(641) 494-5380
Entity
Organization
Contact information
Practice address
990 4TH ST SW, MASON CITY, IA 50401-2861
(641) 494-2000
(641) 494-2018
Mailing address
990 4TH ST SW, MASON CITY, IA 50401-2861
(641) 494-2000
(641) 494-2018
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0610337
—
IA
01
—
128273
HEALTH PARTNERS
—
01
—
16-C0001024
HUMANA GOLD CHOICE
—
01
—
61024
BLUE CROSS & BLUE SHIELD
—
01
—
611158400
US DEPT OF LABOR
—
01
—
9239479
DAKOTACARE
—
01
—
F249491
MIDLANDS CHOICE
—
01
—
SD0101
UNITED HEALTH CARE
—
Enumeration date
06/18/2006
Last updated
02/11/2026
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