BCC CHANDLER LLC NPI 1275158495

NPI Information

NPI: 1275158495
Provider Name: BCC CHANDLER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2190693

Address:
1475 W CHANDLER BLVD
CHANDLER, AZ
ZIP 85224
Phone: (602) 358-8512
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BCC CHANDLER LLC is an ambulatory surgical clinic center in Chandler, AZ. BCC CHANDLER LLC NPI is 1275158495. The provider is registered as an organization entity type.

The provider's business location address is:

1475 W CHANDLER BLVD
CHANDLER, AZ
ZIP 85224-257
Phone: (602) 358-8512

The provider's authorized official is Aric Burke .
The authorized official title is Officer and has the following contact phone number (480) 689-8403.

The CLIA number assigned to this NPI record is 03D2190693 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/12/2020 and was last updated on 6/12/2020.

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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