OLIVE SURGICAL CARE LLC NPI 1700137650

NPI Information

NPI: 1700137650
Provider Name: OLIVE SURGICAL CARE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
8914 N 91ST AVE
SUITE 120
PEORIA, AZ
ZIP 85345
Phone: (623) 877-0900
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OLIVE SURGICAL CARE, LLC is an ambulatory surgical clinic center in Peoria, AZ. OLIVE SURGICAL CARE, LLC NPI is 1700137650. The provider is registered as an organization entity type.

The provider's business location address is:

8914 N 91ST AVE
SUITE 120
PEORIA, AZ
ZIP 85345-390
Phone: (623) 877-0900
Fax: (623) 298-1526

The provider's authorized official is Dena Hackworth .
The authorized official title is Clinical Director and has the following contact phone number (623) 877-0900.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 10/1/2012.

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: 11/14/2023

NPI Synchronization or Removal

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