MEDICARE: AMES SURGERY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1881456606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMES SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	2120 BAILEY AVE
Second Line	:
City	:	AMES
State	:	IA
Zip	:	50010-9667
Country	:	US
Telephone Number	:	515-956-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 BAILEY AVE
Second Line	:
City	:	AMES
State	:	IA
Zip	:	50010-9667
Country	:	US
Telephone Number	:	586-864-6006
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	GARRETT KORRECT
Credential	:
Telephone Number	:	515-239-4400

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	09/04/2024

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Directions to “AMES SURGERY CENTER LLC ” Practice Location

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