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TRUSTED CARE SURGERY CENTERS LLC NPI 1689110314


NPI Information

NPI: 1689110314
Provider Name: TRUSTED CARE SURGERY CENTERS LLC

Other Name: TRUSTED CARE NORTH VALLEY AZ, LLC

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

Specialization: Ambulatory Surgical

CLIA Number: 03D2127531

Address:
20950 N TATUM BLVD
SUITE 170
PHOENIX, AZ
ZIP 85050
Phone: (602) 715-1654
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TRUSTED CARE SURGERY CENTERS LLC is an ambulatory surgical clinic center in Phoenix, AZ. TRUSTED CARE SURGERY CENTERS LLC NPI is 1689110314. The provider is registered as an organization entity type.
The provider Other Name Is Trusted Care North Valley Az, Llc.

The provider's business location address is:

20950 N TATUM BLVD
SUITE 170
PHOENIX, AZ
ZIP 85050-200
Phone: (602) 715-1654
Fax: (480) 800-8507

The provider's authorized official is Wayne Destefano .
The authorized official title is Owner and has the following contact phone number (602) 595-5027.

The CLIA number assigned to this NPI record is 03D2127531 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2017 and was last updated on 1/31/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/14/2023

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