Organization Name: | ALPINE SURGERY CENTER LLC |
NPI Number: | 1497776553 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELINDA M SANDGREN (ADMINISTRATOR) |
Mailing Address: | 112 W Spencer Ave Suite B Gunnison |
State: | CO US |
Postal Code: | 812302546 |
Phone Number: | 9706414522 |
Fax Number: | 9706410282 |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 05/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |