Provider Demographics
NPI:1881456606
Name:AMES SURGERY CENTER LLC
Entity type:Organization
Organization Name:AMES SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:KORRECT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-239-4400
Mailing Address - Street 1:2120 BAILEY AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-9667
Mailing Address - Country:US
Mailing Address - Phone:515-956-7980
Mailing Address - Fax:
Practice Address - Street 1:2120 BAILEY AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-9667
Practice Address - Country:US
Practice Address - Phone:586-864-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical