Basic Information
Provider Information
NPI: 1407233778
EntityType: 2
ReplacementNPI:  
OrganizationName: SCL HEALTH WESTMINSTER, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: SCL HEALTH EMERGENCY CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8686 NEW TRAILS DR
Address2: SUITE 100
City: THE WOODLANDS
State: TX
PostalCode: 773811176
CountryCode: US
TelephoneNumber: 7136371004
FaxNumber:  
Practice Location
Address1: 23770 E SMOKY HILL RD
Address2: SUITE 100
City: AURORA
State: CO
PostalCode: 800163089
CountryCode: US
TelephoneNumber: 7136371004
FaxNumber: 2812985311
Other Information
ProviderEnumerationDate: 05/06/2015
LastUpdateDate: 04/19/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BUCK
AuthorizedOfficialFirstName: JOHN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7136371004
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: SCL HEALTH WESTMINSTER, LLC
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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