# GOLDEN RIDGE SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033112628
- **Authorized official:** MRS. MELODIE R GARROBO ADMINISTRATOR (ADMINISTRATOR)
- **Authorized official phone:** (303) 963-1507

## Contact information

- **Practice address:** 660 GOLDEN RIDGE RD STE 110, GOLDEN, CO 80401-9541
- **Practice address phone:** (303) 963-1500
- **Practice address fax:** (303) 963-1547
- **Mailing address:** 660 GOLDEN RIDGE RD STE 110, GOLDEN, CO 80401-9541
- **Mailing address phone:** (303) 963-1500
- **Mailing address fax:** (303) 963-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 160461 | CO | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 08/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 55538339 | — | CO |