# MOHAVE SURGICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mohave Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831823541
- **Authorized official:** BRIANDA SERRANO (COO)
- **Authorized official phone:** (928) 224-0064

## Contact information

- **Practice address:** 1225 HANCOCK RD STE 100, BULLHEAD CITY, AZ 86442-5948
- **Practice address phone:** (928) 224-0064
- **Practice address fax:** (480) 842-8608
- **Mailing address:** 967 HANCOCK RD STE 133, BULLHEAD CITY, AZ 86442-5142
- **Mailing address phone:** (928) 224-0064
- **Mailing address fax:** (480) 842-8608

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2022
- **Last updated:** 07/11/2022