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Contact Information

SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC
6501 N 19TH AVE
PHOENIX, AZ85015-1646
 Phone: 602-795-6020
 Fax: 602-795-6022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Special Hospital

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

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC

NPI # 1902881295
LBN Legal business name SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC
Authorized official ERIC TOMLON - (CHIEF OF ADMINISTRATION & STAFF OFF)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2005
Last updated 04/17/2025 - More than a year ago
Identifiers
AZ Medicaid 948325
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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