AMBULATORY SURGI-CENTER AT FMC LLC
Ambulatory Health at Beaver St, Flagstaff, AZ

License number
Arizona OSC 2303
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: SUSAN NOVAK
Title: DIRECTOR
Phone: (928) 214-2700
Address
Address
1200 N Beaver St STE B, Flagstaff, AZ 86001
National Provider ID: 1154378909
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AMBULATORY SURGI-CENTER AT FMC LLC at bizstanding.com

THE AMBULATORY SURGI-CENTER AT FMC, LLC

1200 N Beaver St, Flagstaff, AZ 86001

Status:
Inactive
Industry:
Hospitals
Doing business as:
AMBULATORY SURGI-CENTER AT FMC
Inactive reason:
Latest date to dissolve
Registration:
Nov 14, 1997
Inactive since:
Dec 31, 2037
Phone:
(928) 214-2700 (Phone)
State ID:
L-0823831-2
Member:
Flagstaff Medical Center (Member), 1200 N Beaver St, Flagstaff, AZ 86001 (Physical)
Agent:
John J Dempsey,1200 N Beaver St, Flagstaff, AZ 86001 (Physical)

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