MARYVALE FACILITY GROUP LLC; NPI #1053974592

Contact Information

MARYVALE FACILITY GROUP LLC

7141 W THOMAS RD STE 102
PHOENIX, AZ 85033-5518

Phone: 480-634-6400
Fax: 480-404-9649
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for MARYVALE FACILITY GROUP LLC

NPI #	`1053974592`
LBN Legal business name	MARYVALE FACILITY GROUP LLC
Authorized official	CHALLEN WAYCHOFF - (COO/MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/19/2019
Last updated	05/03/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MARYVALE FACILITY GROUP LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for MARYVALE FACILITY GROUP LLC

Reviews for MARYVALE FACILITY GROUP LLC