WEST PHOENIX SURGICAL CENTER LLC


Address: 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037-3382
Phone: 4809304018

WEST PHOENIX SURGICAL CENTER LLC (NPI# 1255991717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255991717
Entity Type Organization
Organization Name WEST PHOENIX SURGICAL CENTER LLC
Practice Address 9250 W Thomas Rd Ste 220
Phoenix
AZ 85037-3382
Mailing Address 4765 S Lakeshore Dr
Tempe
AZ 85282-7197
Practice Telephone 4809304018
Enumeration Date 2019-06-17
Last Update Date 2019-06-17
Authorized Official Name JEREMY BUCKNER (SOLE MEMBER)
Authorized Official Telephone 4809304018
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 9250 W THOMAS RD STE 220
City PHOENIX
State AZ
Zip Code 85037-3382

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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