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Contact Information

ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC
750 N 40TH ST
PHOENIX, AZ85008-6486
 Phone: 602-797-7700
 Fax: 602-797-7979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Special Hospital

284300000X A0[7] Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC

NPI # 1124163530
LBN Legal business name ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC
Authorized official ERIC BOON - (OFFICER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 10/14/2024 - More than a year ago
Identifiers
AZ License # SH3571
AZ Medicaid 882747
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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