# CORONADO SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CORONADO SURGERY CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215489182
- **Legal business name:** CORONADO SURGERY CENTER LLC
- **Authorized official:** JAMIE MICHELLE MOENSTER (PHYSICIAN)
- **Authorized official phone:** (520) 207-3100

## Contact information

- **Practice address:** 150 S CORONADO DR STE 100, SIERRA VISTA, AZ 85635-6301
- **Practice address phone:** (520) 335-8450
- **Practice address fax:** (520) 335-8082
- **Mailing address:** 150 S CORONADO DR STE 100, SIERRA VISTA, AZ 85635-6301
- **Mailing address phone:** (520) 335-8450
- **Mailing address fax:** (520) 335-8082

## Taxonomy

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

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 06/24/2026