GRAND VALLEY SURGICAL CENTER LLC NPI 1942207196

NPI Information

NPI: 1942207196
Provider Name: GRAND VALLEY SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D0974082

Address:
710 WELLINGTON AVE STE 21
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 298-7800
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GRAND VALLEY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Grand Junction, CO. GRAND VALLEY SURGICAL CENTER, LLC NPI is 1942207196. The provider is registered as an organization entity type.

The provider's business location address is:

710 WELLINGTON AVE STE 21
GRAND JUNCTION, CO
ZIP 81501-102
Phone: (970) 298-7800
Fax: (970) 298-7850

The provider's authorized official is Mitchell Schwarzbach .
The authorized official title is Administrator and has the following contact phone number (970) 298-7822.

The CLIA number assigned to this NPI record is 06D0974082 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 9/11/2018.

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	1611ND	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	1611ND	OTHER	COLORADO	STATE OF COLORADO DEPT OF PUBLIC HEALTH AND ENVIRONMENT ASC LICENSE
2	25273388	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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