Agave Surgery Center
Clinic/Center, Ambulatory Surgical in Phoenix, Arizona
1699332080- Practice location
- 20045 N 19TH Ave Bldg 12, Phoenix, AZ 85027-4270
- Phone
- 602-313-8110
- Fax
- —
- Last updated
- April 27, 2020
Agave Surgery Center is a healthcare organization based in Phoenix, AZ. The NPI number for Agave Surgery Center is 1699332080. The current practice location address is 20045 N 19TH Ave Bldg 12, Phoenix, AZ 85027-4270 and the office can be reached by phone at 602-313-8110. The NPI was assigned on May 21, 2019 and the record was last updated in NPPES on April 27, 2020.
●Provider Profile Details
- NPI Number
- 1699332080
- Provider Name
- Agave Surgery Center
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Organization Subpart
- No
- Authorized Official
- Grant Cook · Manager · 602-313-8110
- Enumeration Date
- May 21, 2019
- Last Update Date
- April 27, 2020
- Certification Date
- April 27, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 20045 N 19TH Ave Bldg 12
Phoenix, AZ 85027-4270 - City
- Phoenix
- State
- Arizona
- ZIP
- 85027-4270
- Country
- US
- Phone Number
- 602-313-8110
✉Business Mailing Address
- Address
- 15333 N Pima RD Ste 305
Scottsdale, AZ 85260-2717 - City
- Scottsdale
- State
- AZ
- ZIP
- 85260-2717
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Ambulatory Surgical | 261QA1903X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Agave Surgery Center?
The NPI number of Agave Surgery Center is 1699332080. It was assigned on May 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Agave Surgery Center?
Agave Surgery Center is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).
Where does Agave Surgery Center practice?
The practice location is 20045 N 19TH Ave Bldg 12, Phoenix, AZ 85027-4270. The office can be reached at 602-313-8110 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699332080 directly on the NPPES registry website at npiregistry.cms.hhs.gov.