Provider Demographics
NPI:1922514421
Name:WESTOWN AMBULATORY SURGERY CENTER
Entity Type:Organization
Organization Name:WESTOWN AMBULATORY SURGERY CENTER
Other - Org Name:WESTOWN AMBULATORY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEDET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-267-1819
Mailing Address - Street 1:1300 37TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1900
Mailing Address - Country:US
Mailing Address - Phone:515-267-1819
Mailing Address - Fax:515-457-9180
Practice Address - Street 1:1300 37TH ST STE 3
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1900
Practice Address - Country:US
Practice Address - Phone:515-267-1819
Practice Address - Fax:515-457-9180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical