MOUNTAIN HEART CATH LAB NPI 1194988824

NPI Information

NPI: 1194988824
Provider Name: MOUNTAIN HEART CATH LAB
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2000 S THOMPSON ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 226-6400
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MOUNTAIN HEART CATH LAB is an ambulatory surgical clinic center in Flagstaff, AZ. MOUNTAIN HEART CATH LAB NPI is 1194988824. The provider is registered as an organization entity type.

The provider's business location address is:

2000 S THOMPSON ST
FLAGSTAFF, AZ
ZIP 86001-759
Phone: (928) 226-6400
Fax: (928) 226-6411

The provider's authorized official is Suzanne R Duval .
The authorized official title is Credentialing and has the following contact phone number (928) 226-6400.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 4/7/2009.

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	261QR0404X	Clinic/Center	Rehabilitation, Cardiac Facilities	30420	ARIZONA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	30420	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: 4/28/2024

NPI Synchronization or Removal

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