DOCTORS SURGERY CENTER OF KINGMAN LLC NPI 1407819857

NPI Information

NPI: 1407819857
Provider Name: DOCTORS SURGERY CENTER OF KINGMAN, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1740 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409
Phone: (928) 681-4214
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DOCTORS SURGERY CENTER OF KINGMAN, LLC is an ambulatory surgical clinic center in Kingman, AZ. DOCTORS SURGERY CENTER OF KINGMAN, LLC NPI is 1407819857. The provider is registered as an organization entity type.

The provider's business location address is:

1740 SYCAMORE AVE
KINGMAN, AZ
ZIP 86409-927
Phone: (928) 681-4214
Fax: (928) 681-4226

The provider's authorized official is Myron E Machula .
The authorized official title is Executive Administrator and has the following contact phone number (928) 681-4214.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 8/22/2020.

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	OSC 2913	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	629420	MEDICAID	ARIZONA
2	AZ0207340	OTHER	ARIZONA	BCBSAZ

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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