PISA ASC HOLDCO LLC; NPI #1174185649

Contact Information

PISA ASC HOLDCO LLC

4741 E CAMP LOWELL DRIVE
TUCSON, AZ 85712

Phone: 520-318-6035
Fax: 520-795-9953
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 PISA ASC HOLDCO LLC

NPI # 1174185649

LBN Legal business name PISA ASC HOLDCO LLC

Authorized official GREG TURK - (DIRECTOR/OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2019

Last updated 06/04/2024 - About 2 years ago

Identifiers

Medicaid

003149

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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