NORTHERN ARIZONA SURGICENTER, LLC
Surgery Yellow Pages
Flagstaff, Arizona
Provider NPI: 1871596114
Organization Information:Organization Name: NORTHERN ARIZONA SURGICENTER, LLC
Practice Location:
1020 N SAN FRANCISCO ST # 100 FLAGSTAFF, AZ 86001 US
Tel: 928-774-3300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1020 N SAN FRANCISCO ST # 100 FLAGSTAFF, AZ 86001 US
Tel: 928-774-3300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | AZ | OSC-0083 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD AZ | AZ0204550 | AZ | 01 |
341040 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin