# NORTH MOUNTAIN SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073709689
- **Authorized official:** MS. SUSAN L NANCE RN, CNOR, CASC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (602) 903-0360

## Contact information

- **Practice address:** 9250 N 3RD ST, SUITE 101, PHOENIX, AZ 85020
- **Practice address phone:** (602) 903-0360
- **Mailing address:** PO BOX 47510, 9250 N 3RD ST SUITE 101, PHOENIX, AZ 85068-7510
- **Mailing address phone:** (602) 903-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 03/04/2009