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SKYLINE SURGERY CENTER LLC NPI 1205317054


NPI Information

NPI: 1205317054
Provider Name: SKYLINE SURGERY CENTER, LLC

Doing Business As: SKYLINE EYE SURGERY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 06D2160000

Address:
4026 JERRY MURPHY RD
PUEBLO, CO
ZIP 81001
Phone: (719) 630-3937
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SKYLINE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Pueblo, CO. SKYLINE SURGERY CENTER, LLC NPI is 1205317054. The provider is registered as an organization entity type.
The provider Is Doing Business As Skyline Eye Surgery Center.

The provider's business location address is:

4026 JERRY MURPHY RD
PUEBLO, CO
ZIP 81001-045
Phone: (719) 630-3937
Fax: (719) 635-3578

The provider's authorized official is Heather Leigh Barbish .
The authorized official title is Coo and has the following contact phone number (719) 630-3937.

The CLIA number assigned to this NPI record is 06D2160000 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 4/16/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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