SURGICAL SPECIALTY HOSPITAL OF ARIZONA LLC NPI 1902881295

NPI Information

SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC is a special hospital in Phoenix, AZ. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC NPI is 1902881295. The provider is registered as an organization entity type.
The provider Is Doing Business As The Core Institute Specialty Hospital.

The provider's business location address is:

6501 N 19TH AVE
PHOENIX, AZ
ZIP 85015-646
Phone: (602) 795-6020
Fax: (602) 795-6022

The provider's authorized official is Robert Mark Harmon .
The authorized official title is Vp. Operations and has the following contact phone number (847) 267-9820.

The CLIA number assigned to this NPI record is 03D0057192 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 4/24/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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