# PRIME SURGICAL CENTER OF AVONDALE

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

## Provider details

- **NPI number:** 1689449555
- **Authorized official:** JESSIE TIMMS (VP, OPERATIONS)
- **Authorized official phone:** (916) 213-7874

## Contact information

- **Practice address:** 10825 W MCDOWELL RD STE 120, AVONDALE, AZ 85392-5014
- **Practice address phone:** (818) 937-9969
- **Mailing address:** 10825 W MCDOWELL RD STE 120, AVONDALE, AZ 85392-5107
- **Mailing address phone:** (623) 264-7330

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 09/09/2026