DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM
NPI 1235680034
Clinic/Center - Emergency Care in Surprise, AZ

NPI Status: Active since October 18, 2016

Contact Information

14267 W BELL RD
SURPRISE, AZ
ZIP 85374
Phone: (623) 546-5230

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  • Organization
  • Clinic/Center
  • Emergency Care
  • Accepts Insurance
  • CLIA Number: 03D2113310
  • CLIA Cert. Type: Other - FREE STANDING ER
  • CLIA Exp. Date: 03-28-2027

About DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM

This page provides the complete NPI Profile along with additional information for Dignity Health Arizona General Hospital Emergency Room, a provider established in Surprise, Arizona operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1235680034 assigned on October 2016. The practitioner's primary taxonomy code is 261QE0002X with license number H6937 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Dignity Health Arizona General Hospital Emergency Room. The authorized official of this NPI record is Jane Hanson (Ceo)

NPI
1235680034
Provider Legal Name
AGH LAVEEN LLC
Other Organization Name
DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14267 W BELL RD SURPRISE, AZ 85374
Location Phone
(623) 546-5230
Mailing Address
3030 N CENTRAL AVE STE 1402 PHOENIX, AZ 85012
Mailing Phone
(602) 406-3306
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
05-13-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities
License No.
H6937
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANE HANSON

Authorized Official Title
CEO
Authorized Official Phone
(480) 410-4523

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2113310
Facility Type
Other - FREE STANDING ER
Certificate Effective Date
March 29, 2025
Certificate Expiration Date
March 28, 2027
Laboratory Director
DR. TYLER BRONNENKANT
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Dignity Health Arizona General Hospital Emergency Room on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235680034
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265128006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 8 + 0 + 0 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1235680034 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

DR. MARIE A. DOWLING MD

Emergency Medicine

14267 W BELL RD
SURPRISE, AZ
ZIP 85374

(623) 546-5230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235680034, enumerated as an "organization" on October 18, 2016.

The provider is located at 14267 W BELL RD SURPRISE, AZ 85374 and the phone number is (623) 546-5230.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.