National Provider Identifier Database

AKDHC SURGERY CENTER LLC
Ambulatory Surgical


Contact Information

AKDHC SURGERY CENTER, LLC
3600 W TANGERINE RD, SUITE 100
MARANA, AZ85658
Phone: 520-547-2468
Fax: 520-547-2471
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for AKDHC SURGERY CENTER, LLC

NPI Number 1285120352
Legal business name
LBN
AKDHC SURGERY CENTER, LLC
Authorized official ADONIS ESCOBEDO - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/02/2018
Last updated 08/10/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 244929

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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