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UNION HILLS SURGERY CENTER NPI 1962447185


NPI Information

NPI: 1962447185
Provider Name: UNION HILLS SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D0947856

Address:
18301 N 79TH AVE STE E150
GLENDALE, AZ
ZIP 85308
Phone: (623) 487-7500
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UNION HILLS SURGERY CENTER is an ambulatory surgical clinic center in Glendale, AZ. UNION HILLS SURGERY CENTER NPI is 1962447185. The provider is registered as an organization entity type.

The provider's business location address is:

18301 N 79TH AVE STE E150
GLENDALE, AZ
ZIP 85308-045
Phone: (623) 487-7500

The provider's authorized official is Dennis Dahlen .
The authorized official title is System Manager and has the following contact phone number (602) 747-4577.

The CLIA number assigned to this NPI record is 03D0947856 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalOSC 3777ARIZONAYes

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
1988420MEDICAIDARIZONA

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

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