Basic Information
| Provider Information | |||||||||
| NPI: | 1073613162 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROCKY MOUNTAIN SURGERY CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 W HAMPDEN PL | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801102470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037894000 | ||||||||
| FaxNumber: | 3037895263 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 W HAMPDEN PL | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801102470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037894000 | ||||||||
| FaxNumber: | 3037895263 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 04/18/2018 | ||||||||
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| AuthorizedOfficialLastName: | SWINNEY | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | GREGORY | ||||||||
| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 9727892877 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | 0943 | CO | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.