Organization · Type 2 NPI

City of Surprise

Community Health Clinic/Center · Surprise, AZ

NPI number 1649710328 Active

Practice location

14250 W Statler Plz Ste 101
Surprise, AZ 85374-7474

Call (623) 222-5000 Map

Mailing address

Dept #880156 PO Box 29650
Phoenix, AZ 85038-9650

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	TRN: 17-002 (AZ)

Community Health Clinic/Center: Definition to come...

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NPI record

NPI: 1649710328
Entity type: Organization (Type 2)
Issued: Mar 1, 2017
Last updated: Mar 15, 2021
Status: Active

Other names

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City of Surprise Fire - Treat & Refer · doing business as
Surprise Fire-Medical Department · other name

Authorized official

Tom Abbott
Director
(623) 222-5000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649710328

City of Surprise's National Provider Identifier is 1649710328, issued on Mar 1, 2017. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Surprise, AZ. The record was last updated on Mar 15, 2021.