# NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750386322
- **Authorized official:** JENNIFER B. BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 3920 N UNION BLVD STE 240, COLORADO SPRINGS, CO 80907-4920
- **Practice address phone:** (719) 227-9711
- **Practice address fax:** (719) 227-9725
- **Mailing address:** 3920 N UNION BLVD STE 240, COLORADO SPRINGS, CO 80907-4920
- **Mailing address phone:** (719) 227-9711
- **Mailing address fax:** (847) 296-5990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0239 | CO | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 10/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 490005417 | RR MEDICARE | — |
| 05 | — | 75600331 | — | CO |