# MCR SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1568659738
- **Authorized official:** MRS. REBECCA R CRAIG (CEO)
- **Authorized official phone:** (970) 297-6350

## Contact information

- **Practice address:** 2500 ROCKY MOUNTAIN AVE, SUITE 200, LOVELAND, CO 80538-9004
- **Practice address phone:** (970) 297-6425
- **Practice address fax:** (970) 297-6440
- **Mailing address:** 2127 E HARMONY RD, SUITE 200, FORT COLLINS, CO 80528-3405
- **Mailing address phone:** (970) 297-6425
- **Mailing address fax:** (970) 297-6440

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 01/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139068 | — | CO |
| 01 | — | COB4183 | MEDICARE PTAN NUMBER | — |