Organization · Type 2 NPI

Coal Creek Ambulatory Surgery Center PC

Ambulatory Surgical Clinic/Center · Lafayette, CO

NPI number 1417294745 Active

Practice location

130 Old Laramie Trl Bldg 4
Lafayette, CO 80026

Call (303) 664-9400 Map

Mailing address

PO Box 767
Lafayette, CO 80026

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	CO44716 (CO)

Ambulatory Surgical Clinic/Center: Definition to come...

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NPI record

NPI: 1417294745
Entity type: Organization (Type 2)
Issued: Jan 7, 2013
Last updated: Nov 27, 2023
Status: Active

Other names

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Coal Creek Ambulatory Surgery Center · other name
Coal Creek Ambulatory Surgery Center · other name

Authorized official

Becky Buckley
Billing Manager
(970) 522-2750

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417294745

Coal Creek Ambulatory Surgery Center PC's National Provider Identifier is 1417294745, issued on Jan 7, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lafayette, CO. The record was last updated on Nov 27, 2023.