BANNER SUN CITY WEST SURGERY CENTER LLC NPI 1760907919

NPI Information

NPI: 1760907919
Provider Name: BANNER SUN CITY WEST SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2136730

Address:
14416 W MEEKER BLVD STE 103
SUN CITY, AZ
ZIP 85375
Phone: (623) 234-3675
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BANNER SUN CITY WEST SURGERY CENTER LLC is an ambulatory surgical clinic center in Sun City, AZ. BANNER SUN CITY WEST SURGERY CENTER LLC NPI is 1760907919. The provider is registered as an organization entity type.

The provider's business location address is:

14416 W MEEKER BLVD STE 103
SUN CITY, AZ
ZIP 85375-284
Phone: (623) 234-3675
Fax: (602) 865-1609

The provider's authorized official is Matthew Cox .
The authorized official title is Sr Vp Finance and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2136730 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2017 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			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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