Ambulatory Surgery Center Of Yuma, Llc

LBN: Ambulatory Surgery Center Of Yuma, Llc
Ambulatory Surgery Center Of Yuma, Llc is an health care organization with primary practice located at 2261 S Avenue B , Yuma AZ 85364-6103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Ambulatory Surgery Center Of Yuma, Llc can be contacted via phone (928) 343-2180, or through Wallace, Stephen A via phone (928) 343-2180.

Contact Information

Primary practice address
2261 S Avenue B Yuma AZ 85364-6103
Fax: (928) 373-0754
Website:
Authorized official contact:
Name: Wallace, Stephen A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1083681100
LBN Legal business name Ambulatory Surgery Center Of Yuma, Llc
DBA Doing business as
Authorized official Wallace, Stephen A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Dec 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083681100 NPPES
Arizona MEDICAID 697237

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