Gila River Surgical Center LLC
Clinic/Center (Ambulatory Surgical)

Address: 2340 W Parkside Ln Ste H107, Phoenix, AZ 85027-1274
Phone: 6022376340

Gila River Surgical Center LLC (NPI# 1053927210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053927210
Entity Type Organization
Practice Address 2340 W Parkside Ln Ste H107
AZ 85027-1274
Practice Telephone 6022376340
Mailing Address 21001 N Tatum Blvd Ste 1630-606
AZ 85050-4242
Authorized Official Name Thomas Moshiri (MANAGER)
Authorized Official Telephone 6022376340
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-22
Last Update Date 2020-09-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QA1903X Clinic/Center · Ambulatory Surgical Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2340 W PARKSIDE LN STE H107
State AZ
Zip Code 85027-1274

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Zip Code 85027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.