Provider Demographics
NPI:1720804669
Name:STEINDLER NORTH LIBERTY AMBULATORY SURGERY CENTER LLC
Entity type:Organization
Organization Name:STEINDLER NORTH LIBERTY AMBULATORY SURGERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MAGALLANES
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MBA, MPA, FACHE,
Authorized Official - Phone:319-248-2160
Mailing Address - Street 1:2301 STEINDLER WAY STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-7907
Mailing Address - Country:US
Mailing Address - Phone:319-259-8400
Mailing Address - Fax:
Practice Address - Street 1:2301 STEINDLER WAY STE A
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-7907
Practice Address - Country:US
Practice Address - Phone:319-259-8400
Practice Address - Fax:319-338-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical