# CANON CITY CO MULTI SPECIALTY ASC LLC

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

## Provider details

- **NPI number:** 1750517561
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 933 SELLS AVE, SUITE B, CANON CITY, CO 81212-4900
- **Practice address phone:** (719) 275-6433
- **Mailing address:** 1A BURTON HILLS BLVD, ATTN: LICENSURE AND CERTIFICATION DEPT, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 263-4011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 16J165 | CO | Yes |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 01/05/2023