SUN CITY WEST SURGERY CENTER LLC NPI 1013195569

NPI Information

NPI: 1013195569
Provider Name: SUN CITY WEST SURGERY CENTER, LLC

Doing Business As: DESERT MIRAGE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
12361 W BOLA DR
SUITE 112
SURPRISE, AZ
ZIP 85374
Phone: (405) 285-7500
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SUN CITY WEST SURGERY CENTER, LLC is an ambulatory surgical clinic center in Surprise, AZ. SUN CITY WEST SURGERY CENTER, LLC NPI is 1013195569. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Mirage Surgery Center.

The provider's business location address is:

12361 W BOLA DR
SUITE 112
SURPRISE, AZ
ZIP 85374-019
Phone: (405) 285-7500
Fax: (405) 285-7501

The provider's authorized official is Fay E Wells .
The authorized official title is Director Of Clinical Development and has the following contact phone number (405) 623-7743.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 2/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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