Provider Demographics
NPI:1497929525
Name:ALLIED CENTER FOR SPECIAL SURGERY, SCOTTSDALE LLC
Entity Type:Organization
Organization Name:ALLIED CENTER FOR SPECIAL SURGERY, SCOTTSDALE LLC
Other - Org Name:ST. MICHAEL'S CENTER FOR SPECIAL SURGERY, SCOTTSDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASC COORINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-432-4661
Mailing Address - Street 1:9377 E BELL RD
Mailing Address - Street 2:STE 201
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1502
Mailing Address - Country:US
Mailing Address - Phone:602-432-4661
Mailing Address - Fax:
Practice Address - Street 1:9377 E BELL RD
Practice Address - Street 2:STE 201
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1502
Practice Address - Country:US
Practice Address - Phone:602-432-4661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical