# ROCKY MOUNTAIN ENDOSCOPY CENTERS, LLC

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

## Provider details

- **NPI number:** 1477615284
- **Authorized official:** CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (314) 800-2017

## Contact information

- **Practice address:** 10001 WASHINGTON ST, THORNTON, CO 80229-2050
- **Practice address phone:** (303) 205-1090
- **Practice address fax:** (303) 205-1120
- **Mailing address:** 10001 WASHINGTON ST, THORNTON, CO 80229-2050
- **Mailing address phone:** (303) 205-1090
- **Mailing address fax:** (303) 205-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QE0800X | Endoscopy Clinic/Center | 1604F6 | CO | — |
| 261QE0800X | Endoscopy Clinic/Center | 1604XC | CO | — |
| 261QE0800X | Endoscopy Clinic/Center | 16R178 | CO | — |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 10/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04510376 | — | CO |
| 01 | — | 490004296 | RAILROAD MEDICARE | CO |
| 05 | — | 52126552 | — | CO |
| 05 | — | 83326243 | — | CO |
