ORTHOARIZONA SURGERY CENTER GILBERT LLC NPI 1629559208

NPI Information

NPI: 1629559208
Provider Name: ORTHOARIZONA SURGERY CENTER GILBERT, LLC

Doing Business As: ORTHOARIZONA SURGERY CENTER GILBERT

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

Specialization: Ambulatory Surgical

Address:
1675 E. MELROSE STREET
SUITE 201
GILBERT, AZ
ZIP 85297
Phone: (480) 519-8100
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ORTHOARIZONA SURGERY CENTER GILBERT, LLC is an ambulatory surgical clinic center in Gilbert, AZ. ORTHOARIZONA SURGERY CENTER GILBERT, LLC NPI is 1629559208. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthoarizona Surgery Center Gilbert.

The provider's business location address is:

1675 E. MELROSE STREET
SUITE 201
GILBERT, AZ
ZIP 85297-500
Phone: (480) 519-8100
Fax: (480) 718-7690

The provider's authorized official is Eric Boon .
The authorized official title is Officer / Authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 03D2163534 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 11/17/2020.

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
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: 5/5/2024

NPI Synchronization or Removal

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