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Organization
SURGERY CENTER OF FORT COLLINS LLC
Active
Organization
SURGERY CENTER OF FORT COLLINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY SANSOM (BUSINESS OFFICE MANAGER)
(970) 494-4827
Entity
Organization
Contact information
Practice address
1100 E PROSPECT RD, FORT COLLINS, CO 80525-5304
(970) 494-4800
Mailing address
1100 E PROSPECT RD, FORT COLLINS, CO 80525-5304
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1271
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95038337
—
CO
Enumeration date
11/29/2006
Last updated
11/07/2013
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