1881444586 NPI number — APM SURGERY CENTER LLC

Table of content: (NPI 1881444586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881444586 NPI number — APM SURGERY CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APM SURGERY CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881444586
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
604 W WARNER RD STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85225-2900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-335-8948
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
604 W WARNER RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85225-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-335-8948
Provider Business Practice Location Address Fax Number:
480-612-0115
Provider Enumeration Date:
03/25/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCCREE
Authorized Official First Name:
JANNIFER
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
DON
Authorized Official Telephone Number:
623-335-8948

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)