Organization Name: | SURGERY CENTER OF LOVELAND, LLC |
NPI Number: | 1063595221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONIA S FOOTE (ADMINISTRATOR) |
Mailing Address: | 3800 Grant Ave Loveland |
State: | CO US |
Postal Code: | 805388412 |
Phone Number: | 9706220608 |
Fax Number: | 9706220610 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0800X |
License Number: | 1198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Recovery Care |
Taxonomy Definition: |