Provider Demographics
NPI:1134857188
Name:HEARTLAND SURGICAL SUITES, INC
Entity type:Organization
Organization Name:HEARTLAND SURGICAL SUITES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHERNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-254-2265
Mailing Address - Street 1:10611 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3731
Mailing Address - Country:US
Mailing Address - Phone:515-254-2265
Mailing Address - Fax:515-254-2272
Practice Address - Street 1:10611 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-3731
Practice Address - Country:US
Practice Address - Phone:515-254-2265
Practice Address - Fax:515-254-2272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARTLAND PLASTIC AND RECONSTRUCTIVE SURGERY P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical