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ARROWHEAD SURGERY CENTER LLC NPI 1336687326


NPI Information

NPI: 1336687326
Provider Name: ARROWHEAD SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2131823

Address:
1500 W RAY RD
CHANDLER, AZ
ZIP 85224
Phone: (480) 963-3881
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ARROWHEAD SURGERY CENTER LLC is an ambulatory surgical clinic center in Chandler, AZ. ARROWHEAD SURGERY CENTER LLC NPI is 1336687326. The provider is registered as an organization entity type.

The provider's business location address is:

1500 W RAY RD
CHANDLER, AZ
ZIP 85224-002
Phone: (480) 963-3881
Fax: (480) 899-8610

The provider's authorized official is Michael Jerome Depenbusch .
The authorized official title is President/owner and has the following contact phone number (480) 272-2686.

The CLIA number assigned to this NPI record is 03D2131823 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.


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 SurgicalYes

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
1G48777MEDICARE UPINARIZONA
2Z103779MEDICARE PINARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.