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PREMIER SURGERY CENTER OF TUCSON NPI 1316909633


NPI Information

NPI: 1316909633
Provider Name: PREMIER SURGERY CENTER OF TUCSON

Doing Business As: PREMIER SURGERY CENTER OF TUCSON LP

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
310 N. WILMOT RD.
#309
TUCSON, AZ
ZIP 85711
Phone: (520) 296-7080
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PREMIER SURGERY CENTER OF TUCSON is an ambulatory surgical clinic center in Tucson, AZ. PREMIER SURGERY CENTER OF TUCSON NPI is 1316909633. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Surgery Center Of Tucson Lp.

The provider's business location address is:

310 N. WILMOT RD.
#309
TUCSON, AZ
ZIP 85711
Phone: (520) 296-7080
Fax: (520) 290-8350

The provider's authorized official is Sylvain Sidi .
The authorized official title is Chairman Of The Board and has the following contact phone number (520) 296-7080.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 1/6/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalNo
2261QA1903XClinic/CenterAmbulatory SurgicalOSC4349ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z67507MEDICARE PINARIZONA
2Z67507MEDICARE UPINARIZONA
3643793MEDICAIDARIZONA
403C0001040MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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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