SDG CASTLE ROCK ENDOSCOPY CENTER NPI 1306353586

NPI Information

NPI: 1306353586
Provider Name: SDG CASTLE ROCK ENDOSCOPY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D2148413

Address:
3911 AMBROSIA ST # 200
CASTLE ROCK, CO
ZIP 80109
Phone: (303) 788-8888
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SDG CASTLE ROCK ENDOSCOPY CENTER is an ambulatory surgical clinic center in Castle Rock, CO. SDG CASTLE ROCK ENDOSCOPY CENTER NPI is 1306353586. The provider is registered as an organization entity type.

The provider's business location address is:

3911 AMBROSIA ST # 200
CASTLE ROCK, CO
ZIP 80109-820
Phone: (303) 788-8888
Fax: (303) 788-6452

The provider's authorized official is Richard M Roman .
The authorized official title is President, Physician and has the following contact phone number (303) 788-8888.

The CLIA number assigned to this NPI record is 06D2148413 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2018 and was last updated on 1/24/2018.

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			Yes

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

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