ENDOSCOPY CENTER OF THE ROCKIES LLC – NPI #1558526293
Clinic/Center

ENDOSCOPY CENTER OF THE ROCKIES LLC is an AHC clinic located in BOULDER, CO. NPPES has assigned the NPI number 1558526293 to ENDOSCOPY CENTER OF THE ROCKIES LLC on July 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ENDOSCOPY CENTER OF THE ROCKIES LLC is also known by the name ENDOSCOPY CENTER OF THE ROCKIES BOULDER. 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 6 years ago on Mar 05, 2020. 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 ENDOSCOPY CENTER OF THE ROCKIES LLC below.

NPI Profile for
ENDOSCOPY CENTER OF THE ROCKIES LLC

NPI Number
1558526293
Enumeration Date

(about 18 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
ENDOSCOPY CENTER OF THE ROCKIES LLC
Other Name: ENDOSCOPY CENTER OF THE ROCKIES BOULDER
Primary location
1755 48TH ST
SUITE 100
BOULDER, CO 80301-2711
Phone: (303) 604-5000 Fax: (720) 890-0364
Mailing address
382 S ARTHUR AVE
LOUISVILLE, CO 80027-3094
Phone: (303) 604-5000 Fax: (720) 890-0364
Organization Subpart
No
Authorized Official
DAUS MAHNKE
BOARD MEMBER
Phone: (303) 604-5000
Updated
Certification Date
Mar 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ENDOSCOPY CENTER OF THE ROCKIES 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
OTHERBCBSCOEN64670
OTHERRAILROAD MEDICARECO490005424
MEDICAIDCO95055011
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 1064

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.