BSC SHEA PARK LLC NPI 1881339133

NPI Information

NPI: 1881339133
Provider Name: BSC SHEA PARK LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2259590

Address:
2222 E HIGHLAND AVE STE 100
PHOENIX, AZ
ZIP 85016
Phone: (602) 354-3242
Get Directions

BSC SHEA PARK LLC is an ambulatory surgical clinic center in Phoenix, AZ. BSC SHEA PARK LLC NPI is 1881339133. The provider is registered as an organization entity type.

The provider's business location address is:

2222 E HIGHLAND AVE STE 100
PHOENIX, AZ
ZIP 85016-874
Phone: (602) 354-3242

The provider's authorized official is Aric Burke .
The authorized official title is Director/officer and has the following contact phone number (602) 358-8512.

The CLIA number assigned to this NPI record is 03D2259590 - other - surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »