KOKOPELLI EYE CARE SURGERY CENTER; NPI #1205858875

Contact Information

KOKOPELLI EYE CARE SURGERY CENTER

2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314-1242

Phone: 928-775-5606
Fax: 928-772-4999
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 KOKOPELLI EYE CARE SURGERY CENTER

NPI # 1205858875

LBN Legal business name KOKOPELLI EYE CARE SURGERY CENTER

Authorized official MICHAEL HAM - (OWNER/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/24/2006

Last updated 07/10/2007 - About 19 years ago

Identifiers

License #

OSC 0078

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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KOKOPELLI EYE CARE SURGERY CENTER

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for KOKOPELLI EYE CARE SURGERY CENTER

Reviews for KOKOPELLI EYE CARE SURGERY CENTER