# SURGICAL CENTER AT PREMIER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHSOUTH SURGERY CENTER OF COLORADO SPRINGS, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851358964
- **Authorized official:** KEN FETTERS (ADMINISTRATOR)
- **Authorized official phone:** (719) 268-3200

## Contact information

- **Practice address:** 3920 N UNION BLVD, SUITE 240, COLORADO SPRINGS, CO 80907-4900
- **Practice address phone:** (719) 268-3200
- **Mailing address:** 3920 N UNION BLVD, SUITE 240, COLORADO SPRINGS, CO 80907-4900
- **Mailing address phone:** (719) 268-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 16R972 | CO | Yes |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 10/24/2007
