BANNER SURGERY CENTER - ALVERNON LLC NPI 1922660109

NPI Information

  • NPI: 1922660109
  • Provider Name: BANNER SURGERY CENTER - ALVERNON LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 03D2170760
  • Address: 750 N ALVERNON WAY
    TUCSON, AZ
    ZIP 85711
  • Phone: (480) 292-8541

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NPI Details

BANNER SURGERY CENTER - ALVERNON LLC is an ambulatory surgical clinic center in Tucson, AZ. BANNER SURGERY CENTER - ALVERNON LLC NPI is 1922660109. The provider is registered as an organization entity type.

The provider's business location address is:

750 N ALVERNON WAY
TUCSON, AZ
ZIP 85711-804
Phone: (480) 292-8541
Fax: (602) 926-0412

The provider's authorized official is Aric Burke .
The authorized official title is Manager and has the following contact phone number (602) 354-4935.

The CLIA number assigned to this NPI record is 03D2170760 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 7/8/2019 and was last updated on 2/11/2020.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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