MIDVALLEY AMBULATORY SURGERY CENTER LLC – NPI #1376507780
Clinic/Center

MIDVALLEY AMBULATORY SURGERY CENTER LLC is an AHC clinic located in BASALT, CO. NPPES has assigned the NPI number 1376507780 to MIDVALLEY AMBULATORY SURGERY CENTER LLC on April 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MIDVALLEY AMBULATORY SURGERY CENTER LLC is also known by the name MIDVALLEY AMBULATORY SURGERY CENTER. 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 11 years ago on Oct 06, 2015. 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 MIDVALLEY AMBULATORY SURGERY CENTER LLC below.

NPI Profile for
MIDVALLEY AMBULATORY SURGERY CENTER LLC

NPI Number
1376507780
Enumeration Date

(more than 20 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
MIDVALLEY AMBULATORY SURGERY CENTER LLC
Other Name: MIDVALLEY AMBULATORY SURGERY CENTER
Primary location
1450 E VALLEY RD
SUITE 202
BASALT, CO 81621-8304
Phone: (970) 544-1360 Fax: (970) 544-1387
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK PURNELL
MEDICAL DIRECTOR
Phone: (970) 544-1360
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)		 CO 0563

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.