CORONADO SURGERY CENTER LLC NPI 1235363987

NPI Information

NPI: 1235363987
Provider Name: CORONADO SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 29D1090212

Address:
2779 W HORIZON RIDGE PKWY
SUITE 140
HENDERSON, NV
ZIP 89052
Phone: (702) 589-9250
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CORONADO SURGERY CENTER, LLC is an ambulatory surgical clinic center in Henderson, NV. CORONADO SURGERY CENTER, LLC NPI is 1235363987. The provider is registered as an organization entity type.

The provider's business location address is:

2779 W HORIZON RIDGE PKWY
SUITE 140
HENDERSON, NV
ZIP 89052-184
Phone: (702) 589-9250
Fax: (702) 589-9257

The provider's authorized official is Donna Tribble .
The authorized official title is Administrator/don and has the following contact phone number (702) 589-9250.

The CLIA number assigned to this NPI record is 29D1090212 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/10/2019.

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	5381ASC-0	NEVADA	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

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