Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prescott Outpatient Surgical Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1083624670

Prescott Outpatient Surgical Center LLC is an Ambulatory Surgical Clinic/Center in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

815 Ainsworth Dr
Prescott, AZ 86301-1631
Phone: (928) 778-9770
Fax: (928) 778-9028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence OSC0035 (AZ)

Record details

NPI number1083624670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Boon — Officer/Authorized Official · (480) 567-0269
NPI enumeratedAugust 8, 2006
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address815 Ainsworth Dr, Prescott, AZ 86301-1631

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