59TH AVENUE SURGICAL FACILITY, LTD; NPI #1508089624

Contact Information

59TH AVENUE SURGICAL FACILITY, LTD

8608 N 59TH AVE
GLENDALE, AZ 85302-5404

Phone: 623-934-3211
Fax: 623-930-1891
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 59TH AVENUE SURGICAL FACILITY, LTD

NPI #	`1508089624`
LBN Legal business name	59TH AVENUE SURGICAL FACILITY, LTD
Authorized official	MARK GORMAN - (C.E.O.)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/10/2007
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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59TH AVENUE SURGICAL FACILITY, LTD

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for 59TH AVENUE SURGICAL FACILITY, LTD

Reviews for 59TH AVENUE SURGICAL FACILITY, LTD