Surgery Center Of Peoria

LBN: Surgery Center Of Peoria, Llc
Surgery Center Of Peoria is an health care organization with primary practice located at 13260 N 94Th Dr Suite 200, Peoria AZ 85381-4828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgery Center Of Peoria, Llc can be contacted via phone (623) 933-2900, or through Boon, Eric via phone (480) 567-0269.

Contact Information

Primary practice address
13260 N 94Th Dr Suite 200 Peoria AZ 85381-4828
Phone: (623) 933-2900
Fax: (623) 933-0017
Website:
Map and Directions
Authorized official contact:
Name: Boon, Eric
Phone: (480) 567-0269

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OSC0016 Arizona

Profile Details

NPI number 1992706899
LBN Legal business name Surgery Center Of Peoria, Llc
DBA Doing business as Surgery Center Of Peoria
Authorized official Boon, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 21st, 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 1992706899 NPPES
Arizona MEDICAID 436883
Arizona Other 490003885

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