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Organization
ENDOSCOPY CENTER OF THE ROCKIES LLC
Active
Organization
ENDOSCOPY CENTER OF THE ROCKIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAUS MAHNKE (BOARD MEMBER)
(303) 604-5000
Entity
Organization
Contact information
Practice address
1551 PROFESSIONAL LN STE 295, LONGMONT, CO 80501-6972
(303) 604-5000
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
(720) 890-0364
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005424
RAILROAD MEDICARE
CO
05
—
95055011
—
CO
01
—
EN64670
BCBS
CO
Enumeration date
10/08/2008
Last updated
10/04/2021
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