# BASALT ORTHOPEDIC SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528653037
- **Authorized official:** LAUREN NOLL (ACCOUNTING & HIM MANAGER)
- **Authorized official phone:** (970) 477-3794

## Contact information

- **Practice address:** 200 ROBINSON STREET, BASALT, CO 81621
- **Practice address phone:** (970) 477-3794
- **Mailing address:** PO BOX 1270, VAIL, CO 81658-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2021
- **Last updated:** 04/22/2022