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Hopco Flagstaff Asc Holdings, LLC

Clinic/Center, Ambulatory Surgical in Flagstaff, AZ. Organization (NPI-2).

NPI number1356099147
StatusActive
Last updated in NPPESMay 10, 2022

Details

NPI
1356099147
Entity type
Organization (NPI-2)
Legal business name
Hopco Flagstaff Asc Holdings, LLC
Organization subpart
No
Enumeration date
Mar 11, 2022
Certification date
May 10, 2022
Last updated
May 10, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA1903X Clinic/Center, Ambulatory Surgical––Yes

Other names

  • Elevation Surgery Center (Doing Business As)

Practice location

1840 N Jasper Dr.
Suite 1
Flagstaff, AZ 86001

Phone 623-537-5600

Mailing address

24218 N 22nd St Ste 320
Phoenix, AZ 85024-8693

Authorized official

David Jacofsky
Ceo
6235375600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Ambulatory Surgical Clinic/Center providers in Flagstaff, AZ

All 17 Ambulatory Surgical Clinic/Center providers in Flagstaff · All 3,116 providers in Flagstaff

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