AIMS OUTPATIENT SURGERY NPI 1063408649

NPI Information

NPI: 1063408649
Provider Name: AIMS OUTPATIENT SURGERY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2044249

Address:
3636 N STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3690
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AIMS OUTPATIENT SURGERY is an ambulatory surgical clinic center in Kingman, AZ. AIMS OUTPATIENT SURGERY NPI is 1063408649. The provider is registered as an organization entity type.

The provider's business location address is:

3636 N STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3690
Fax: (928) 757-3635

The provider's authorized official is Azam S. Khan .
The authorized official title is Chief Administrative Officer and has the following contact phone number (928) 757-3636.

The CLIA number assigned to this NPI record is 03D2044249 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 6/4/2018.

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	OSC0074	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	155590	MEDICAID	ARIZONA
2	OSC-0074	OTHER	ARIZONA	MEDICAL FACILITY LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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