COAL CREEK AMBULATORY SURGERY CENTER PC NPI 1417294745

NPI Information

NPI: 1417294745
Provider Name: COAL CREEK AMBULATORY SURGERY CENTER PC

Other Name: COAL CREEK AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D2066918

Address:
130 OLD LARAMIE TRL BLDG 4
LAFAYETTE, CO
ZIP 80026
Phone: (303) 664-9400
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COAL CREEK AMBULATORY SURGERY CENTER PC is an ambulatory surgical clinic center in Lafayette, CO. COAL CREEK AMBULATORY SURGERY CENTER PC NPI is 1417294745. The provider is registered as an organization entity type.
The provider Other Name Is Coal Creek Ambulatory Surgery Center.

The provider's business location address is:

130 OLD LARAMIE TRL BLDG 4
LAFAYETTE, CO
ZIP 80026
Phone: (303) 664-9400

The provider's authorized official is Becky Buckley .
The authorized official title is Billing Manager and has the following contact phone number (970) 522-2750.

The CLIA number assigned to this NPI record is 06D2066918 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 11/27/2023.

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	CO44716	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	9000150725	MEDICAID	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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