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PARKWEST SURGERY CENTER LLC. NPI 1871658658


NPI Information

NPI: 1871658658
Provider Name: PARKWEST SURGERY CENTER, LLC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D1023621

Address:
3676 PARKER BLVD
SUITE 140
PUEBLO, CO
ZIP 81008
Phone: (719) 253-7032
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PARKWEST SURGERY CENTER, LLC. is an ambulatory surgical clinic center in Pueblo, CO. PARKWEST SURGERY CENTER, LLC. NPI is 1871658658. The provider is registered as an organization entity type.

The provider's business location address is:

3676 PARKER BLVD
SUITE 140
PUEBLO, CO
ZIP 81008-212
Phone: (719) 253-7032
Fax: (719) 253-7090

The provider's authorized official is Michael T. Baxter .
The authorized official title is Operations Manager and has the following contact phone number (719) 253-7032.

The CLIA number assigned to this NPI record is 06D1023621 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 2/4/2008.


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 Surgical0150COLORADOYes

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
1C452798MEDICARE PINCOLORADO
279103731MEDICAIDCOLORADO

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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