PIMC - AMBULATORY SURGICAL CENTER – NPI #1003083551
Clinic/Center

PIMC - AMBULATORY SURGICAL CENTER is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1003083551 to PIMC - AMBULATORY SURGICAL CENTER on May 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PIMC - AMBULATORY SURGICAL CENTER” is a dba name, the actual legal business name for this organization is DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on May 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PIMC - AMBULATORY SURGICAL CENTER below.

NPI Profile for
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

NPI Number
1003083551
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Doing Business As (dba): PIMC - AMBULATORY SURGICAL CENTER
Primary location
4212 NORTH 16TH STREET
PHOENIX INDIAN MEDICAL CENTER AMBULATORY SURGICAL CENT
PHOENIX, AZ 85016-5319
Phone: (602) 263-1200 Fax: (602) 263-1618
Mailing address
PIMC ASC POBOX 95460
CLEVELAND, OH 44193-0001
Phone: (602) 581-6088 Fax: (602) 263-1619
Organization Subpart
Yes - PIMC - AMBULATORY SURGICAL CENTER is subpart of another organization.
Authorized Official
LAURA TILLMAN
CMO
Phone: (602) 263-1674
Updated
Certification Date
May 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.