AMBULATORY SURGI-CENTER AT FMC LLC; NPI #1154378909

Contact Information

AMBULATORY SURGI-CENTER AT FMC LLC

1200 N BEAVER ST STE B
FLAGSTAFF, AZ 86001-3118

Phone: 928-214-2700
Fax:
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 AMBULATORY SURGI-CENTER AT FMC LLC

NPI # 1154378909

LBN Legal business name AMBULATORY SURGI-CENTER AT FMC LLC

Authorized official SUSAN NOVAK - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/27/2006

Last updated 06/11/2010 - About 16 years ago

Identifiers

AZ	License #	OSC 2303
AZ	Medicaid	478364
AZ	Other	AZ0205860	BCBS/AZ
AZ	Other	1Z7274	HEALTHNET
AZ	Other	157543	UHC

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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AMBULATORY SURGI-CENTER AT FMC LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for AMBULATORY SURGI-CENTER AT FMC LLC

Reviews for AMBULATORY SURGI-CENTER AT FMC LLC