BANNER MESA SURGERY CENTER LLC – NPI #1780109934
Clinic/Center

BANNER MESA SURGERY CENTER LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1780109934 to BANNER MESA SURGERY CENTER LLC on August 09, 2017. 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 7 years ago on Jul 26, 2019. 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 BANNER MESA SURGERY CENTER LLC below.

NPI Profile for
BANNER MESA SURGERY CENTER LLC

NPI Number
1780109934
Enumeration Date

(about 9 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
BANNER MESA SURGERY CENTER LLC
Primary location
1500 S DOBSON RD STE 101
MESA, AZ 85202-4722
Phone: (480) 306-6098 Fax: (602) 801-3815
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
Yes - BANNER MESA SURGERY CENTER LLC is subpart of another organization.
Authorized Official
MATTHEW COX
SR VP FINANCE
Phone: (602) 747-4000
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.