THIRD FACILITY LLC – NPI #1437760873
Clinic/Center

THIRD FACILITY LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1437760873 to THIRD FACILITY LLC on August 10, 2020. 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 THIRD FACILITY LLC below.

NPI Profile for
THIRD FACILITY LLC

NPI Number
1437760873
Enumeration Date

(about 6 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
THIRD FACILITY LLC
Primary location
3724 N 3RD ST STE 302
PHOENIX, AZ 85012-2034
Phone: (480) 634-6400 Fax: (480) 404-9649
Mailing address
3724 N 3RD ST STE 301
PHOENIX, AZ 85012-2035
Phone: (480) 634-6400 Fax: (480) 404-9649
Organization Subpart
No
Authorized Official
CHALLEN WAYCHOFF
COO/MANAGER
Phone: (480) 634-6400
Updated
Certification Date
Aug 10, 2020

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.