| Organization Name: | GOLDEN RIDGE SURGERY CENTER |
| NPI Number: | 1033112628 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELODIE R GARROBO (ADMINISTRATOR) |
| Mailing Address: | 660 Golden Ridge Rd Ste 110 Golden |
| State: | CO US |
| Postal Code: | 804019541 |
| Phone Number: | 3039631500 |
| Fax Number: | 3039631547 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 09/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 160461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |