FOOTHILLS SURGERY CENTER, LLC – NPI #1104189042
Clinic/Center

FOOTHILLS SURGERY CENTER, LLC is an AHC clinic located in BOULDER, CO. NPPES has assigned the NPI number 1104189042 to FOOTHILLS SURGERY CENTER, LLC on June 15, 2012. 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 8 years ago on Feb 20, 2018. 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 FOOTHILLS SURGERY CENTER, LLC below.

NPI Profile for
FOOTHILLS SURGERY CENTER, LLC

NPI Number
1104189042
Enumeration Date

(about 14 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
FOOTHILLS SURGERY CENTER, LLC
Primary location
4743 ARAPAHOE AVE
STE 101
BOULDER, CO 80303
Phone: (303) 435-7161 Fax:
Mailing address
4743 ARAPAHOE AVE STE 101
BOULDER, CO 80303-1123
Phone: (720) 441-5757 Fax: (303) 954-8412
Organization Subpart
No
Authorized Official
LORI TAMBURO
ADMINISTRATOR
Phone: (720) 441-5757
Updated
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)

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.