SEDONA SURGERY CENTER – NPI #1033102140
Clinic/Center

SEDONA SURGERY CENTER is an AHC clinic located in INDIO, CA. NPPES has assigned the NPI number 1033102140 to SEDONA SURGERY CENTER on August 24, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEDONA SURGERY CENTER” is a dba name, the actual legal business name for this organization is SSC HOLDINGS 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

The NPI profile was previously updated about 18 years ago on Aug 26, 2008. 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 SEDONA SURGERY CENTER below.

NPI Profile for
SSC HOLDINGS LLC

NPI Number
1033102140
Enumeration Date

(about 21 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
SSC HOLDINGS LLC
Doing Business As (dba): SEDONA SURGERY CENTER
Primary location
81812 DR CARREON BLVD
SUITE F
INDIO, CA 92201
Phone: (760) 775-2225 Fax: (760) 775-2377
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAN BOWERS
PRESIDENT
Phone: (760) 775-8019
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)		 CA 250000805

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.