St. Joseph'S Outpatient Surgery Center, Llc

LBN: St. Joseph'S Outpatient Surgery Center, Llc
St. Joseph'S Outpatient Surgery Center, Llc is an health care organization with primary practice located at 240 W Thomas Rd , Phoenix AZ 85013-4407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. St. Joseph'S Outpatient Surgery Center, Llc can be contacted via phone (602) 406-3552, or through Moran, Jenetha D via phone (972) 763-3893.

Contact Information

Primary practice address
240 W Thomas Rd Phoenix AZ 85013-4407
Fax: (602) 406-7139
Website:
Authorized official contact:
Name: Moran, Jenetha D

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OSC3456 Arizona

Profile Details

NPI number 1306843222
LBN Legal business name St. Joseph'S Outpatient Surgery Center, Llc
DBA Doing business as
Authorized official Moran, Jenetha D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 3rd, 2019 - about 6 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 1306843222 NPPES
Arizona Other IZ2500 HEALTHNET
Arizona Other AZ0202840 HEALTHNET
Arizona MEDICAID 826836 HEALTHNET

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