BUCKEYE SOUTH LLC NPI 1780292110

NPI Information

NPI: 1780292110
Provider Name: BUCKEYE SOUTH LLC

Doing Business As: BUCKEYE SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
23390 W YUMA RD STE 106
BUCKEYE, AZ
ZIP 85326
Phone: (623) 250-4800
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BUCKEYE SOUTH LLC is an ambulatory surgical clinic center in Buckeye, AZ. BUCKEYE SOUTH LLC NPI is 1780292110. The provider is registered as an organization entity type.
The provider Is Doing Business As Buckeye Surgery Center.

The provider's business location address is:

23390 W YUMA RD STE 106
BUCKEYE, AZ
ZIP 85326-106
Phone: (623) 250-4800
Fax: (623) 248-1204

The provider's authorized official is Isabel Marquez .
The authorized official title is Clinical Director and has the following contact phone number (210) 571-2399.

The CLIA number assigned to this NPI record is 03D2188286 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 11/11/2020.

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			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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