Healthcare Provider Details
I. General information
NPI: 1083638647
Provider Name (Legal Business Name): WEST DES MOINES AMBULATORY SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2006
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2425 WESTOWN PKWY STE 200
WEST DES MOINES IA
50266
US
IV. Provider business mailing address
2425 WESTOWN PKWY STE 200
WEST DES MOINES IA
50266-1425
US
V. Phone/Fax
- Phone: 515-221-1900
- Fax: 515-457-9180
- Phone: 515-221-1900
- Fax: 515-457-9180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALISON
M
WEISHEIPL
Title or Position: OWNER
Credential: M.D.
Phone: 515-221-1900