HOPCO FLAGSTAFF ASC HOLDINGS LLC NPI 1356099147

NPI Information

NPI: 1356099147
Provider Name: HOPCO FLAGSTAFF ASC HOLDINGS, LLC

Doing Business As: ELEVATION SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
1840 N JASPER DR.
SUITE 1
FLAGSTAFF, AZ
ZIP 86001
Phone: (623) 537-5600
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HOPCO FLAGSTAFF ASC HOLDINGS, LLC is an ambulatory surgical clinic center in Flagstaff, AZ. HOPCO FLAGSTAFF ASC HOLDINGS, LLC NPI is 1356099147. The provider is registered as an organization entity type.
The provider Is Doing Business As Elevation Surgery Center.

The provider's business location address is:

1840 N JASPER DR.
SUITE 1
FLAGSTAFF, AZ
ZIP 86001
Phone: (623) 537-5600

The provider's authorized official is David Jacofsky .
The authorized official title is Ceo and has the following contact phone number (623) 537-5600.

The CLIA number assigned to this NPI record is 03D2263893 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 5/10/2022.

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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