GOLDEN RIDGE SURGERY CENTER LLC NPI 1033112628

NPI Information

NPI: 1033112628
Provider Name: GOLDEN RIDGE SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D0971560

Address:
660 GOLDEN RIDGE RD STE 110
GOLDEN, CO
ZIP 80401
Phone: (303) 963-1500
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GOLDEN RIDGE SURGERY CENTER LLC is an ambulatory surgical clinic center in Golden, CO. GOLDEN RIDGE SURGERY CENTER LLC NPI is 1033112628. The provider is registered as an organization entity type.

The provider's business location address is:

660 GOLDEN RIDGE RD STE 110
GOLDEN, CO
ZIP 80401-541
Phone: (303) 963-1500
Fax: (303) 963-1547

The provider's authorized official is Melodie R Garrobo .
The authorized official title is Administrator and has the following contact phone number (303) 963-1507.

The CLIA number assigned to this NPI record is 06D0971560 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 8/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	160461	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55538339	MEDICAID	COLORADO
2	CA61058	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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