LONGMONT SURGERY CENTER, LLC – NPI #1063582427
Clinic/Center

LONGMONT SURGERY CENTER, LLC is an AHC clinic located in LONGMONT, CO. NPPES has assigned the NPI number 1063582427 to LONGMONT SURGERY CENTER, LLC on November 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Aug 05, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LONGMONT SURGERY CENTER, LLC below.

NPI Profile for
LONGMONT SURGERY CENTER, LLC

NPI Number
1063582427
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONGMONT SURGERY CENTER, LLC
Primary location
2030 W MOUNTAIN VIEW AVE
# 100
LONGMONT, CO 80501
Phone: (303) 682-0375 Fax: (303) 682-0593
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SEAN MANION
PRESIDENT
Phone: (303) 682-0375
Updated
Identifiers

Identifiers for LONGMONT SURGERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO04510327
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CO 1112

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.