# MIDVALLEY AMBULATORY SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midvalley Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376507780
- **Authorized official:** MARK I. PURNELL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (970) 544-1360

## Contact information

- **Practice address:** 1450 E VALLEY RD, SUITE 202, BASALT, CO 81621-8304
- **Practice address phone:** (970) 544-1360
- **Practice address fax:** (970) 544-1387
- **Mailing address:** 1450 E VALLEY RD, SUITE 202, BASALT, CO 81621-8304
- **Mailing address phone:** (970) 544-1360
- **Mailing address fax:** (970) 544-1387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0563 | CO | Yes |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 10/06/2015