AMBULATORY SURGI-CENTER AT FMC LLC (NPI# 1154378909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154378909 |
Entity Type | Organization |
Organization Name | AMBULATORY SURGI-CENTER AT FMC LLC |
Practice Address |
1200 N Beaver St Ste B Flagstaff AZ 86001-3118 |
Mailing Address |
Po Box 2730 Flagstaff AZ 86003-2730 |
Practice Telephone | 9282142700 |
Mailing Telephone | 9282142700 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2010-06-11 |
Authorized Official Name | SUSAN NOVAK (DIRECTOR) |
Authorized Official Telephone | 9282142700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSC 2303 | AZ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | UHC | 157543 | 01 |
AZ | 478364 | 05 | |
AZ | BCBS/AZ | AZ0205860 | 01 |
AZ | HEALTHNET | 1Z7274 | 01 |
Street Address |
1200 N BEAVER ST STE B |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86001-3118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
Find all providers in zip 86001 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917445 | Aurora Surgical Center LLC | Clinic/Center | 1254 W University Ave Ste 130, Flagstaff, AZ 86001-7217 | 2020-09-20 |
1568009801 | Flagstaff Pain and Treatment Center LLC | Clinic/Center | 823 N San Francisco St Ste A, Flagstaff, AZ 86001-3265 | 2019-12-05 |
1689222317 | Flagstaff Bone & Joint Surgical Center, LLC | Clinic/Center | 501 N Switzer Canyon Dr, Flagstaff, AZ 86001-4845 | 2019-08-27 |
1679539688 | Northern Arizona Eye Associates | Clinic/Center | 900 N San Francisco St, Flagstaff, AZ 86001-3236 | 2006-04-26 |
1679566582 | Forest Canyon Endoscopy & Surgery Ctr PC | Clinic/Center | 560 N Switzer Canyon Dr, Flagstaff, AZ 86001-4844 | 2005-08-25 |
1720590672 | Elevated Anesthesia LLC | Clinic/Center | 560 N Switzer Canyon Dr, Flagstaff, AZ 86001-4844 | 2017-11-01 |
1649668781 | Northern Arizona Healthcare Orthopedic Surgery Center, LLC | Clinic/Center | 1485 N Turquoise Dr, Suite 100, Flagstaff, AZ 86001-1398 | 2014-12-23 |
1407120512 | Barnet Dulaney Perkins Eye Center II Pllc | Clinic/Center | 350 N Switzer Canyon Dr, Flagstaff, AZ 86001-4826 | 2012-03-07 |
1255645453 | Bdpec Flagstaff Asc LLC | Clinic/Center | 1030 N San Francisco St, Suite 130, Flagstaff, AZ 86001-3252 | 2010-07-29 |
1255586186 | Naes Surgery Center | Clinic/Center | 900 N San Francisco St, Flagstaff, AZ 86001-3236 | 2008-11-19 |
Find all providers in FLAGSTAFF |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.