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YUMA AZ ENDOSCOPY ASC LLC NPI 1972578367


NPI Information

NPI: 1972578367
Provider Name: YUMA AZ ENDOSCOPY ASC LLC

Doing Business As: ENDOSCOPY CENTER OF YUMA

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1030 W 24TH ST
SUITE 1
YUMA, AZ
ZIP 85364
Phone: (928) 343-1717
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YUMA AZ ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Yuma, AZ. YUMA AZ ENDOSCOPY ASC LLC NPI is 1972578367. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopy Center Of Yuma.

The provider's business location address is:

1030 W 24TH ST
SUITE 1
YUMA, AZ
ZIP 85364-384
Phone: (928) 343-1717
Fax: (928) 343-1011

The provider's authorized official is Phillip A Clendenin .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 4/17/2013.


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 3889ARIZONAYes

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
103C0001241MEDICARE OSCAR/CERTIFICATIONARIZONA
2116880MEDICAIDARIZONA
3ZP00330701MEDICARE PINARIZONA
4Z106442MEDICARE PINARIZONA

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: 11/14/2023

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