BLACKHAWK SURGERY CENTER, A MEDICAL CORP. – NPI #1144259870
Clinic/Center

BLACKHAWK SURGERY CENTER, A MEDICAL CORP. is an AHC clinic located in DANVILLE, CA. NPPES has assigned the NPI number 1144259870 to BLACKHAWK SURGERY CENTER, A MEDICAL CORP. on July 03, 2006. 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 19 years ago on Oct 31, 2007. 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 BLACKHAWK SURGERY CENTER, A MEDICAL CORP. below.

NPI Profile for
BLACKHAWK SURGERY CENTER, A MEDICAL CORP.

NPI Number
1144259870
Enumeration Date

(about 20 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
BLACKHAWK SURGERY CENTER, A MEDICAL CORP.
Primary location
3601 BLACKHAWK PLAZA CIRCLE
DANVILLE, CA 94506
Phone: (925) 736-5757 Fax: (925) 736-5763
Mailing address
11999 SAN VICENTE BL.
# 440
LOS ANGELES, CA 90049
Phone: (310) 440-3131 Fax: (310) 472-9582
Organization Subpart
No
Authorized Official
STEPHEN RONAN
OWNER
Phone: (925) 736-5757
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.