Sunrise Ambulatory Surgical Center Llc

LBN: Sunrise Ambulatory Surgical Center Llc
Sunrise Ambulatory Surgical Center Llc is an health care organization with primary practice located at 5448 White Mountain Blvd Ste 100 , Lakeside AZ 85929-5736. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Sunrise Ambulatory Surgical Center Llc can be contacted via phone (928) 532-3010, or through Snodgrass, Jeffrey via phone (615) 665-1283.

Contact Information

Primary practice address
5448 White Mountain Blvd Ste 100 Lakeside AZ 85929-5736
Fax: (928) 532-1161
Website:
Authorized official contact:
Name: Snodgrass, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OSC2943 Arizona

Profile Details

NPI number 1750352324
LBN Legal business name Sunrise Ambulatory Surgical Center Llc
DBA Doing business as
Authorized official Snodgrass, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 29th, 2021 - about 3 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 1750352324 NPPES
Arizona MEDICAID 643371

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