Carondelet Foothills Surgery Center

LBN: Carondelet St. Mary'S Northwest, Llc
Carondelet Foothills Surgery Center is an health care organization with primary practice located at 2220 W Orange Grove Rd , Tucson AZ 85741-3117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Carondelet St. Mary'S Northwest, Llc can be contacted via phone (520) 877-5660, or through Moran, Jenetha D via phone (972) 763-3893.

Contact Information

Primary practice address
2220 W Orange Grove Rd Tucson AZ 85741-3117
Phone: (520) 877-5660
Fax: (520) 877-5669
Website:
Map and Directions
Authorized official contact:
Name: Moran, Jenetha D
Phone: (972) 763-3893

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X OSC3857 Arizona

Profile Details

NPI number 1487716650
LBN Legal business name Carondelet St. Mary'S Northwest, Llc
DBA Doing business as Carondelet Foothills Surgery Center
Authorized official Moran, Jenetha D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Jan 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487716650 NPPES
Arizona MEDICAID 006486
Arizona Other 03C0001289

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