GREENWAYSURGERY CENTER LLC – NPI #1043095557
Clinic/Center

GREENWAYSURGERY CENTER LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1043095557 to GREENWAYSURGERY CENTER LLC on August 31, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 GREENWAYSURGERY CENTER LLC below.

NPI Profile for
GREENWAYSURGERY CENTER LLC

NPI Number
1043095557
Enumeration Date

(about 3 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
GREENWAYSURGERY CENTER LLC
Primary location
2525 W GREENWAY RD STE 100
PHOENIX, AZ 85023-4280
Phone: (480) 716-9991 Fax: (480) 716-9991
Mailing address
2525 W GREENWAY RD STE 300
PHOENIX, AZ 85023-4292
Phone: (480) 716-9991 Fax:
Organization Subpart
No
Authorized Official
KEITH RICKER
CLO/COO
Phone: (480) 573-0212
Updated
Certification Date
Aug 31, 2023

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.