Organization
QUALITY SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED ELAHMADY MD (MEDICAL DIRECTOR)
(563) 242-3208
Entity
Organization
Contact information
Practice address
2745 LINCOLNWAY, CLINTON, IA 52732-7201
(563) 242-3208
(563) 242-4051
Mailing address
PO BOX 106, CAMANCHE, IA 52730-0106
(563) 242-3208
(563) 242-4051
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0610121
—
IA
01
—
61012
BLUE CROSS
IA
Enumeration date
01/19/2006
Last updated
11/01/2007
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