DESERT MIRAGE SURGERY CENTER – NPI #1013195569
Clinic/Center

DESERT MIRAGE SURGERY CENTER is an AHC clinic located in SURPRISE, AZ. NPPES has assigned the NPI number 1013195569 to DESERT MIRAGE SURGERY CENTER on February 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DESERT MIRAGE SURGERY CENTER” is a dba name, the actual legal business name for this organization is SUN CITY WEST SURGERY CENTER, LLC. 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

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 DESERT MIRAGE SURGERY CENTER below.

NPI Profile for
SUN CITY WEST SURGERY CENTER, LLC

NPI Number
1013195569
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
SUN CITY WEST SURGERY CENTER, LLC
Doing Business As (dba): DESERT MIRAGE SURGERY CENTER
Primary location
12361 W BOLA DR
SUITE 112
SURPRISE, AZ 85374-9019
Phone: (405) 285-7500 Fax: (405) 285-7501
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FAY WELLS
DIRECTOR OF CLINICAL DEVELOPMENT
Phone: (405) 623-7743
Updated
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)		 AZ

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.