# SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPRING CREEK SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508863085
- **Authorized official:** MR. JACK BURGIN (ADMINISTRATOR)
- **Authorized official phone:** (970) 232-1717

## Contact information

- **Practice address:** 2001 S SHIELDS ST, BLDG F, FORT COLLINS, CO 80526-1827
- **Practice address phone:** (970) 232-1717
- **Practice address fax:** (970) 488-3950
- **Mailing address:** 2001 S SHIELDS ST, BLDG F, FORT COLLINS, CO 80526-1827
- **Mailing address phone:** (970) 232-1717
- **Mailing address fax:** (970) 488-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0110 | CO | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 02/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04510251 | — | CO |