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Organization
MCR SURGERY CENTER, LLC
Active
Organization
MCR SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA R CRAIG (CEO)
(970) 297-6350
Entity
Organization
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, SUITE 200, LOVELAND, CO 80538-9004
(970) 297-6425
(970) 297-6440
Mailing address
2127 E HARMONY RD, SUITE 200, FORT COLLINS, CO 80528-3405
(970) 297-6425
(970) 297-6440
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139068
—
CO
01
—
COB4183
MEDICARE PTAN NUMBER
—
Enumeration date
10/01/2007
Last updated
01/20/2009
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