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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