COTTONWOOD DAY SURGERY CENTER NPI 1043222417

NPI Information

NPI: 1043222417
Provider Name: COTTONWOOD DAY SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D1017039

Address:
55 S 6TH ST
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-5118
Get Directions

COTTONWOOD DAY SURGERY CENTER is an ambulatory surgical clinic center in Cottonwood, AZ. COTTONWOOD DAY SURGERY CENTER NPI is 1043222417. The provider is registered as an organization entity type.

The provider's business location address is:

55 S 6TH ST
COTTONWOOD, AZ
ZIP 86326-237
Phone: (928) 634-5118
Fax: (928) 634-8522

The provider's authorized official is Robert J Brownsberger .
The authorized official title is Owner and has the following contact phone number (928) 458-7343.

The CLIA number assigned to this NPI record is 03D1017039 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 12/16/2022.

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	03C0001308	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0203740	OTHER	ARIZONA	BCBS
2	490002552	OTHER	ARIZONA	RAILROAD MEDICARE
3	POF250015005	MEDICAID	ARIZONA

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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