AKDHC SURGERY CENTER, LLC; NPI #1285120352

Contact Information

AKDHC SURGERY CENTER, LLC

3600 W TANGERINE RD, SUITE 100
MARANA, AZ 85658

Phone: 520-547-2468
Fax: 520-547-2471
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 AKDHC SURGERY CENTER, LLC

NPI # 1285120352

LBN Legal business name AKDHC SURGERY CENTER, LLC

Authorized official ADONIS ESCOBEDO - (CREDENTIALING MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/02/2018

Last updated 08/10/2018 - About 8 years ago

Identifiers

Medicaid

244929

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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