Provider Demographics
NPI:1093785503
Name:AMERICAN SLEEP CENTER LLC
Entity Type:Organization
Organization Name:AMERICAN SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-224-0537
Mailing Address - Street 1:1250 NW 142ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8346
Mailing Address - Country:US
Mailing Address - Phone:515-224-0537
Mailing Address - Fax:515-224-0491
Practice Address - Street 1:1250 NW 142ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8346
Practice Address - Country:US
Practice Address - Phone:515-223-8900
Practice Address - Fax:515-223-1879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN PROSTHETICS & ORTHOTICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-25
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0747378Medicaid
IAI17489Medicare PIN