AGAVE SURGERY CENTER; NPI #1699332080

Contact Information

AGAVE SURGERY CENTER

20045 N 19TH AVE BLDG 12
PHOENIX, AZ 85027-4270

Phone: 602-313-8110
Fax:
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 AGAVE SURGERY CENTER

NPI #	`1699332080`
LBN Legal business name	AGAVE SURGERY CENTER
Authorized official	GRANT COOK - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/21/2019
Last updated	04/27/2020 - 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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AGAVE SURGERY CENTER

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for AGAVE SURGERY CENTER

Reviews for AGAVE SURGERY CENTER