# SUMMIT SURGERY CENTER

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

## Provider details

- **NPI number:** 1811300403
- **Authorized official:** DR. JOHN DEGEN KIRK MD (PRESIDENT)
- **Authorized official phone:** (970) 669-1107

## Contact information

- **Practice address:** 3620 E 15TH ST, LOVELAND, CO 80538-8701
- **Practice address phone:** (970) 669-1107
- **Practice address fax:** (970) 669-8849
- **Mailing address:** 3620 E 15TH ST, LOVELAND, CO 80538-8701
- **Mailing address phone:** (970) 669-1107
- **Mailing address fax:** (970) 669-8849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 28606 | CO | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 03/30/2015