# FOOTHILLS SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104189042
- **Authorized official:** LORI TAMBURO (ADMINISTRATOR)
- **Authorized official phone:** (720) 441-5757

## Contact information

- **Practice address:** 4743 ARAPAHOE AVE, STE 101, BOULDER, CO 80303
- **Practice address phone:** (303) 435-7161
- **Mailing address:** 4743 ARAPAHOE AVE STE 101, BOULDER, CO 80303-1123
- **Mailing address phone:** (720) 441-5757
- **Mailing address fax:** (303) 954-8412

## Taxonomy

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

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 02/20/2018