SURGERY CENTER OF SCOTTSDALE LLC NPI 1396174454

NPI Information

NPI: 1396174454
Provider Name: SURGERY CENTER OF SCOTTSDALE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
18555 N 79TH AVE
BLDG C
GLENDALE, AZ
ZIP 85308
Phone: (623) 776-2500
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SURGERY CENTER OF SCOTTSDALE LLC is an ambulatory surgical clinic center in Glendale, AZ. SURGERY CENTER OF SCOTTSDALE LLC NPI is 1396174454. The provider is registered as an organization entity type.

The provider's business location address is:

18555 N 79TH AVE
BLDG C
GLENDALE, AZ
ZIP 85308-370
Phone: (623) 776-2500
Fax: (623) 776-2555

The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 7/26/2019.

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	OSC6638	ARIZONA	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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