Organization
GATEWAY SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. MOSER (CHIEF OPERATING OFFICER)
(563) 243-2511
Entity
Organization
Contact information
Practice address
841 SPRINGDALE DR, CLINTON, IA 52732-3579
(563) 244-9955
(563) 243-3461
Mailing address
841 SPRINGDALE DR, CLINTON, IA 52732-3579
(563) 244-9955
(563) 243-3461
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0610105
—
IA
01
—
60010
WELLMARK BC/GS
IA
Enumeration date
04/28/2006
Last updated
03/15/2013
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