North Valley Surgery

LBN: Jcl Surgery, Llc
North Valley Surgery is an health care organization with primary practice located at 3201 W Peoria Ave Suite C500, Phoenix AZ 85029-4608. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as the primary health care specialty. Jcl Surgery, Llc can be contacted via phone (602) 298-6516, or through Grover, Gary R via phone (602) 216-6687.

Contact Information

Primary practice address
3201 W Peoria Ave Suite C500 Phoenix AZ 85029-4608
Phone: (602) 298-6516
Fax: (602) 298-2347
Website:
Map and Directions
Authorized official contact:
Name: Grover, Gary R
Phone: (602) 216-6687

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X

Profile Details

NPI number 1215975966
LBN Legal business name Jcl Surgery, Llc
DBA Doing business as North Valley Surgery
Authorized official Grover, Gary R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 29th, 2007 - about 18 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 1215975966 NPPES
Arizona MEDICAID 093479

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