Entity Details

Basic

Entity Type:
Ambulatory Surgical Centers (ASC)

Medicaid #:

CCN #:
16C0001042

Occupancy Type:

Max Occupancy:

Status:
Active

Close Date:

Accredited:
Accreditation Association for Ambulatory Health Care

Accredited/Deemed:
Accreditation Association for Ambulatory Health Care

License & Survey

License #:
490026A

Initial License Date:
03/20/2025

Current License Date:
03/20/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
333

Expiration Date:
03/20/2027

Months Since Last Survey:

Entity Type Survey Cycle(months):
48

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2301 Steindler Way, Suite A

City:
North Liberty

State:
Iowa

Zip:
52317

Phone:
(319) 259-8400

Fax:
(319) 259-8401

URL:

Administrator/License #:
Patrick Magallanes /

Administrator Email:
pmagallanes@steindler.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: