Organization
SPRING CREEK MEDICAL PARK OUTPATIENT SURGERY CENTER LLC
Active
Other names
SPRING CREEK SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK BURGIN (ADMINISTRATOR)
(970) 232-1717
Entity
Organization
Contact information
Practice address
2001 S SHIELDS ST, BLDG F, FORT COLLINS, CO 80526-1827
(970) 232-1717
(970) 488-3950
Mailing address
2001 S SHIELDS ST, BLDG F, FORT COLLINS, CO 80526-1827
(970) 232-1717
(970) 488-3950
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0110
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510251
—
CO
Enumeration date
06/30/2005
Last updated
02/22/2010
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