# LOVELAND SURGICAL ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BANNER HEALTH
- **Other names:** Skyline Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649378910
- **Legal business name:** BANNER HEALTH
- **Authorized official:** DENNIS LARAWAY (CFO)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 2555 E 13TH ST, SUITE 200, LOVELAND, CO 80537-5113
- **Practice address phone:** (970) 999-0240
- **Practice address fax:** (970) 797-1590
- **Mailing address:** 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
- **Mailing address phone:** (602) 747-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0897 | CO | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 12/27/2021