# BSC CASA GRANDE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Banner Surgery Center - Casa Grande
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811659816
- **Authorized official:** ARIC BURKE (OFFICER/DIRECTOR)
- **Authorized official phone:** (480) 689-8403

## Contact information

- **Practice address:** 1653 E MCMURRAY BLVD STE 141, CASA GRANDE, AZ 85122-5934
- **Practice address phone:** (520) 233-6502
- **Mailing address:** 2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
- **Mailing address phone:** (602) 358-8512

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2021
- **Last updated:** 10/07/2021