PREMIER SURGERY CENTER – NPI #1750386322
Clinic/Center

PREMIER SURGERY CENTER is an AHC clinic located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1750386322 to PREMIER SURGERY CENTER on June 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PREMIER SURGERY CENTER” is a dba name, the actual legal business name for this organization is NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC. 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 3 years ago on Oct 12, 2023. 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 PREMIER SURGERY CENTER below.

NPI Profile for
NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC

NPI Number
1750386322
Enumeration Date

(about 21 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
NOVAMED SURGERY CENTER OF COLORADO SPRINGS, LLC
Doing Business As (dba): PREMIER SURGERY CENTER
Primary location
3920 N UNION BLVD STE 240
COLORADO SPRINGS, CO 80907-4920
Phone: (719) 227-9711 Fax: (719) 227-9725
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Oct 12, 2023

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 PREMIER SURGERY CENTER

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
otherRR MEDICARE490005417
medicaidCO75600331
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 0239

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.