# BANNER ARIZONA ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sun City West Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417921537
- **Authorized official:** MR. PHILLIP A CLENDENIN (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 14416 W MEEKER BLVD, SUITE 103, SUN CITY WEST, AZ 85375-5284
- **Practice address phone:** (623) 583-5280
- **Practice address fax:** (623) 583-5277
- **Mailing address:** 14416 W MEEKER BLVD, SUITE 103, SUN CITY WEST, AZ 85375-5284
- **Mailing address phone:** (623) 583-5280
- **Mailing address fax:** (623) 583-5277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC3833 | AZ | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 09/07/2023