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Organization
COAL CREEK AMBULATORY SURGERY CENTER PC
Active
Organization
COAL CREEK AMBULATORY SURGERY CENTER PC
Active
Other names
Coal Creek Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BUCKLEY (BILLING MANAGER)
(970) 522-2750
Entity
Organization
Contact information
Practice address
130 OLD LARAMIE TRL BLDG 4, LAFAYETTE, CO 80026
(303) 664-9400
Mailing address
PO BOX 767, LAFAYETTE, CO 80026
(303) 664-9400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CO44716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000150725
—
CO
Enumeration date
01/07/2013
Last updated
11/27/2023
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