| Organization Name: | COTTONWOOD DAY SURGERY CENTER |
| NPI Number: | 1043222417 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS J VALENTE (OWNER) |
| Mailing Address: | 55 S 6th St Cottonwood |
| State: | AZ US |
| Postal Code: | 863264237 |
| Phone Number: | 9286345118 |
| Fax Number: | 9286348522 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 03C0001308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |