NORTHWEST REGIONAL ASC LLC NPI 1851399646

NPI Information

NPI: 1851399646
Provider Name: NORTHWEST REGIONAL ASC, LLC

Other Name: NORTHWEST REGIONAL AMBULATORY SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
10170 CHURCH RANCH WAY
STE 110
WESTMINSTER, CO
ZIP 80021
Phone: (303) 328-3400
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NORTHWEST REGIONAL ASC, LLC is an ambulatory surgical clinic center in Westminster, CO. NORTHWEST REGIONAL ASC, LLC NPI is 1851399646. The provider is registered as an organization entity type.
The provider Other Name Is Northwest Regional Ambulatory Surgery Center.

The provider's business location address is:

10170 CHURCH RANCH WAY
STE 110
WESTMINSTER, CO
ZIP 80021-058
Phone: (303) 328-3400
Fax: (303) 328-3401

The provider's authorized official is Jenetha D Moran .
The authorized official title is Officer/authorized Official and has the following contact phone number (972) 763-3893.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 12/3/2019.

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	16P689	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	72636076	MEDICAID	COLORADO
2	P00228297	OTHER	COLORADO	RAILROAD MEDICARE

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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