FARWELL SURGICENTER – NPI #1043572373
Clinic/Center

FARWELL SURGICENTER is an AHC clinic located in FREMONT, CA. NPPES has assigned the NPI number 1043572373 to FARWELL SURGICENTER on June 12, 2012. 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

The NPI profile was previously updated about 14 years ago on Jun 20, 2012. 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 FARWELL SURGICENTER below.

NPI Profile for
FARWELL SURGICENTER

NPI Number
1043572373
Enumeration Date

(about 14 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
FARWELL SURGICENTER
Primary location
39180 FARWELL DR
FREMONT, CA 94538-1015
Phone: (510) 857-1004 Fax:
Mailing address
5178 MOWRY AVE
SUITE 2114
FREMONT, CA 94538-1046
Phone: Fax:
Organization Subpart
No
Authorized Official
MICHAEL HEIFFERON
ADMINISTRATOR
Phone: (510) 857-1004
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)

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.