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FOREST CANYON ENDOSCOPY & SURGERY CTR PC NPI 1679566582


NPI Information

NPI: 1679566582
Provider Name: FOREST CANYON ENDOSCOPY & SURGERY CTR PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
560 N SWITZER CANYON DR
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 774-3044
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FOREST CANYON ENDOSCOPY & SURGERY CTR PC is an ambulatory surgical clinic center in Flagstaff, AZ. FOREST CANYON ENDOSCOPY & SURGERY CTR PC NPI is 1679566582. The provider is registered as an organization entity type.

The provider's business location address is:

560 N SWITZER CANYON DR
FLAGSTAFF, AZ
ZIP 86001-844
Phone: (928) 774-3044
Fax: (928) 774-7107

The provider's authorized official is Erik J Flexman .
The authorized official title is Executive Director and has the following contact phone number (928) 774-3044.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 6/12/2015.


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 SurgicalOSC3471ARIZONAYes

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
103-C0001268OTHERPROVIDER NUMBER
2Z77647MEDICARE OSCAR/CERTIFICATION
3MED2661MEDICARE PIN

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.