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NORTHERN ARIZONA SURGICENTER LLC NPI 1871596114


NPI Information

NPI: 1871596114
Provider Name: NORTHERN ARIZONA SURGICENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D0895598

Address:
1020 N SAN FRANCISCO ST
# 100
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 774-3300
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NORTHERN ARIZONA SURGICENTER, LLC is an ambulatory surgical clinic center in Flagstaff, AZ. NORTHERN ARIZONA SURGICENTER, LLC NPI is 1871596114. The provider is registered as an organization entity type.

The provider's business location address is:

1020 N SAN FRANCISCO ST
# 100
FLAGSTAFF, AZ
ZIP 86001-281
Phone: (928) 774-3300
Fax: (928) 214-2137

The provider's authorized official is Norma Brandon .
The authorized official title is Administrative Assistant and has the following contact phone number (928) 214-2156.

The CLIA number assigned to this NPI record is 03D0895598 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 9/24/2010.


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 SurgicalOSC-0083ARIZONAYes

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
1341040MEDICAIDARIZONA
2AZ0204550OTHERARIZONABLUE CROSS BLUE SHIELD AZ
3Z3C0001212MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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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