SOUTH MOUNTAIN SURGERY CENTER LLC NPI 1073089215

NPI Information

NPI: 1073089215
Provider Name: SOUTH MOUNTAIN SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
15810 S 45TH ST STE 150
PHOENIX, AZ
ZIP 85048
Phone: (480) 747-6240
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SOUTH MOUNTAIN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Phoenix, AZ. SOUTH MOUNTAIN SURGERY CENTER, LLC NPI is 1073089215. The provider is registered as an organization entity type.

The provider's business location address is:

15810 S 45TH ST STE 150
PHOENIX, AZ
ZIP 85048-655
Phone: (480) 747-6240
Fax: (480) 747-6238

The provider's authorized official is Mike Burrola .
The authorized official title is General Manager and has the following contact phone number (623) 302-0850.

The enumeration date for this NPI number is 10/15/2018 and was last updated on 1/22/2019.

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			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: 4/28/2024

NPI Synchronization or Removal

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