SUNRISE AMBULATORY SURGICAL CENTER LLC
Surgery Yellow Pages
Lakeside, Arizona
Provider NPI: 1750352324
Organization Information:Organization Name: SUNRISE AMBULATORY SURGICAL CENTER LLC
Practice Location:
5448 WHITE MOUNTAIN BLVD STE 100 LAKESIDE, AZ 85929 US
Tel: 928-532-3010 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:
5448 WHITE MOUNTAIN BLVD STE 100 LAKESIDE, AZ 85929 US
Tel: 928-532-3010 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 | OSC2943 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
643371 | AZ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin