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Contact Information

AMBULATORY SURGERY CENTER OF YUMA, LLC
2261 S AVENUE B
YUMA, AZ85364-6103
 Phone: 928-343-2180
 Fax: 928-373-0754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for AMBULATORY SURGERY CENTER OF YUMA, LLC

NPI # 1083681100
LBN Legal business name AMBULATORY SURGERY CENTER OF YUMA, LLC
Authorized official STEPHEN WALLACE - (AUTHORIZED SIGNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2006
Last updated 12/06/2007 - About 19 years ago
Identifiers
AZ Medicaid 697237
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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