Organization
LOVELAND SURGICAL ENTERPRISES, LLC
Active
Parent organization
BANNER HEALTH
Other names
Skyline Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2555 E 13TH ST, SUITE 200, LOVELAND, CO 80537-5113
(970) 999-0240
(970) 797-1590
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0897
CO
Other
Enumeration date
09/20/2006
Last updated
12/27/2021
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