BANNER SURGERY CENTER - THUNDERBIRD LLC NPI 1881225639

NPI Information

NPI: 1881225639
Provider Name: BANNER SURGERY CENTER - THUNDERBIRD, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2198942

Address:
9301 W THOMAS RD
PHOENIX, AZ
ZIP 85037
Phone: (602) 354-8847
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BANNER SURGERY CENTER - THUNDERBIRD, LLC is an ambulatory surgical clinic center in Phoenix, AZ. BANNER SURGERY CENTER - THUNDERBIRD, LLC NPI is 1881225639. The provider is registered as an organization entity type.

The provider's business location address is:

9301 W THOMAS RD
PHOENIX, AZ
ZIP 85037-327
Phone: (602) 354-8847

The provider's authorized official is Aric T Burke .
The authorized official title is President and has the following contact phone number (602) 354-4935.

The CLIA number assigned to this NPI record is 03D2198942 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2020 and was last updated on 5/13/2020.

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: 4/28/2024

NPI Synchronization or Removal

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