institution
Black Canyon Surgical Center, Llc
Ambulatory Surgical Clinic/Center in Montrose, Colorado
NPI 1578515367

Black Canyon Surgical Center, Llc is an Ambulatory Surgical Clinic/Center based in Montrose, CO and is specialized in Ambulatory Surgical. Black Canyon Surgical Center, Llc practices in Montrose, CO. The NPI Number for Black Canyon Surgical Center, Llc is 1578515367 and holds a License No. 0539 (Colorado).

The current practice location address for Black Canyon Surgical Center, Llc is 611 E. Star Ct., Montrose, CO and can be reached out via phone at 970-249-6842 and via fax at 970-249-6942.

Location: 611 E. Star Ct., Montrose, CO, 81401-6701
institution
Provider Profile Details
NPI Number
1578515367
Provider Name
Black Canyon Surgical Center, Llc
Credential
Provider Entity Type
Organization
Address
611 E. Star Ct., Montrose, CO, 81401-6701
Phone Number
970-249-6842
Fax Number
970-249-6942
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67515 BL 01 CO ANTHEM BLUE CROSS BLUE SH
75038358 05 CO
P00307659 01 GA PALMETTO RAILROAD MEDICAR
institution
Provider Business Practice Location Address Details
Address
611 E. Star Ct.
City
State
Zip
81401-6701
Phone Number
970-249-6842
Fax Number
970-249-6942
person
Provider Business Mailing Address Details
Address
611 E. Star Ct.
City
State
Zip
81401-6701
Phone Number
970-249-6842
Fax Number
970-249-6942
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0539 (Colorado)
Definition
Definition to come...
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