Organization
SURGERY CENTER OF GILBERT LLC
Active
Other names
Surgery Center of Gilbert
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M KELLY (ADMINISTRATOR)
(480) 641-6565
Entity
Organization
Contact information
Practice address
6003 E BASELINE RD, MESA, AZ 85206-4815
(480) 641-6500
(480) 641-6550
Mailing address
6003 E BASELINE RD, MESA, AZ 85206-4815
(480) 641-6500
(480) 641-6550
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC3133
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005586
RAILROAD MEDICARE
AZ
05
—
735722
—
AZ
Enumeration date
07/18/2005
Last updated
08/12/2015
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