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ABERDEEN AMBULATORY SURGICAL CENTER LLC NPI 1194751784


NPI Information

NPI: 1194751784
Provider Name: ABERDEEN AMBULATORY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
650 DITTMER AVENUE
PUEBLO, CO
ZIP 81005
Phone: (719) 565-2000
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ABERDEEN AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Pueblo, CO. ABERDEEN AMBULATORY SURGICAL CENTER, LLC NPI is 1194751784. The provider is registered as an organization entity type.

The provider's business location address is:

650 DITTMER AVENUE
PUEBLO, CO
ZIP 81005-212
Phone: (719) 565-2000
Fax: (719) 565-2222

The provider's authorized official is Charles Willis Kessler .
The authorized official title is Medical Director-managing Member and has the following contact phone number (719) 565-1000.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 7/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical0939COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106639ABOTHERBLUE CROSS BLUE SHIELD
246726560MEDICAIDCOLORADO

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: 4/28/2024

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