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Organization

NORTHWEST REGIONAL ASC, LLC

Active
Find providers by NPI
Organization

NORTHWEST REGIONAL ASC, LLC

Active
Other names
Northwest Regional Ambulatory Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization

Contact information

Practice address
10170 CHURCH RANCH WAY, STE 110, WESTMINSTER, CO 80021-6058
(303) 328-3400
(303) 328-3401
Mailing address
10170 CHURCH RANCH WAY, STE 110, WESTMINSTER, CO 80021-6058
(303) 328-3400
(303) 328-3401

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16P689
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72636076
—
CO
01
—
P00228297
RAILROAD MEDICARE
CO
Enumeration date
07/14/2005
Last updated
12/03/2019
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