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RENEWAL SURGERY CENTER LLC NPI 1508009564


NPI Information

NPI: 1508009564
Provider Name: RENEWAL SURGERY CENTER, LLC

Former Legal Business Name: YOSEMITE STREET SURGERY CENTER, LLC

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

Specialization: Ambulatory Surgical

Address:
9777 S YOSEMITE ST STE 210
LONE TREE, CO
ZIP 80124
Phone: (303) 708-2943
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RENEWAL SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lone Tree, CO. RENEWAL SURGERY CENTER, LLC NPI is 1508009564. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Yosemite Street Surgery Center, Llc.

The provider's business location address is:

9777 S YOSEMITE ST STE 210
LONE TREE, CO
ZIP 80124-115
Phone: (303) 708-2943
Fax: (720) 475-8485

The provider's authorized official is Stacy Duchane .
The authorized official title is Administrator and has the following contact phone number (720) 475-8412.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/27/2017.


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 Surgical16E991COLORADOYes

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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