Desert Ridge Outpatient Surgery Llc in Phoenix - Ambulatory Surgical
Desert Ridge Outpatient Surgery Llc - NPI 1992713176
Desert Ridge Outpatient Surgery Llc is a Ambulatory Surgical in Phoenix, Arizona. Desert Ridge Outpatient Surgery Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Desert Ridge Outpatient Surgery Llc is 1992713176. The last update date is 2018-05-31.
Desert Ridge Outpatient Surgery Llc's current location address is 20940 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 4805024000 and fax number 4805024050. The mailing address for Desert Ridge Outpatient Surgery Llc is 20940 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Desert Ridge Outpatient Surgery Llc |
|---|---|
| Address | 20940 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 4805024000 |
| Fax Number | 4805024050 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER / |
|---|---|
| Authorized Official Name | Moran D Jenetha |
| Telephone Number | 9727633893 |
NPI Number Detail
| NPI Number | 1992713176 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2018-05-31 |
Provider Mailing Address Detail
| Address | 20940 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850504265 |
| Phone Number | 4805024000 |
| Fax Number | 4805024050 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | OSC4133 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00617703 | AZ | RAILROAD MEDICARE | |
| 240194 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Desert Ridge Outpatient Surgery Llc by the Centers for Medicare & Medicaid Services?
The Desert Ridge Outpatient Surgery Llc has been assigned the NPI (National Provider Identifier) 1992713176. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Desert Ridge Outpatient Surgery Llc?
The Desert Ridge Outpatient Surgery Llc is situated at 20940 N Tatum Blvd, in the city of Phoenix, state of AZ, with the zip code 850504265.
What is Desert Ridge Outpatient Surgery Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Desert Ridge Outpatient Surgery Llc is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
When did the Desert Ridge Outpatient Surgery Llc receive its 1992713176?
The Desert Ridge Outpatient Surgery Llc was issued its 1992713176 on 2006-08-04, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Desert Ridge Outpatient Surgery Llc last refreshed?
The information related to the Desert Ridge Outpatient Surgery Llc, including its address, specialty, and other relevant details, was last updated on 2018-05-31.