Organization
COAL CREEK AMBULATORY SURGERY CENTER PC
Active
Other names
Coal Creek Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY BUCKLEY (BILLING MANAGER)
(970) 522-2750
Entity
Organization
Contact information
Practice address
130 OLD LARAMIE TRL BLDG 4, LAFAYETTE, CO 80026
(303) 664-9400
Mailing address
PO BOX 767, LAFAYETTE, CO 80026
(303) 664-9400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CO44716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000150725
—
CO
Enumeration date
01/07/2013
Last updated
11/27/2023
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