AMBULATORY SURGI-CENTER AT FMC LLC – NPI #1154378909
Clinic/Center

AMBULATORY SURGI-CENTER AT FMC LLC is an AHC clinic located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1154378909 to AMBULATORY SURGI-CENTER AT FMC LLC on May 27, 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 16 years ago on Jun 11, 2010. 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 AMBULATORY SURGI-CENTER AT FMC LLC below.

NPI Profile for
AMBULATORY SURGI-CENTER AT FMC LLC

NPI Number
1154378909
Enumeration Date

(more than 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
AMBULATORY SURGI-CENTER AT FMC LLC
Primary location
1200 N BEAVER ST STE B
FLAGSTAFF, AZ 86001-3118
Phone: (928) 214-2700 Fax:
Mailing address
PO BOX 2730
FLAGSTAFF, AZ 86003-2730
Phone: (928) 214-2700 Fax:
Organization Subpart
No
Authorized Official
SUSAN NOVAK
DIRECTOR
Phone: (928) 214-2700
Updated
Identifiers

Identifiers for AMBULATORY SURGI-CENTER AT FMC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS/AZAZAZ0205860
OTHERHEALTHNETAZ1Z7274
OTHERUHCAZ157543
MEDICAIDAZ478364
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 OSC 2303

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.