Provider Demographics
NPI:1386116978
Name:CENTRAL SCOTTSDALE SURGERY CENTER
Entity type:Organization
Organization Name:CENTRAL SCOTTSDALE SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLMSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-814-9258
Mailing Address - Street 1:3271 N CIVIC CENTER PLZ STE 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6990
Mailing Address - Country:US
Mailing Address - Phone:480-814-9258
Mailing Address - Fax:
Practice Address - Street 1:3271 N CIVIC CENTER PLZ
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6990
Practice Address - Country:US
Practice Address - Phone:855-377-3782
Practice Address - Fax:833-235-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty