Organization · Type 2 NPI

Black Rock Surgery Center LLC

Ambulatory Surgical Clinic/Center · Gillette, WY

NPI number 1669039640 Active

Practice location

2901 Powder Basin Ave
Gillette, WY 82718-6406

Call (307) 682-6222 Map

Fax (307) 682-6999

Mailing address

PO Box 688
Douglas, WY 82633-0688

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

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

3 other providers at this address

Other ambulatory surgical clinic/center providers in Gillette

See all in Gillette →

About NPI 1669039640

Black Rock Surgery Center LLC's National Provider Identifier is 1669039640, issued on May 24, 2019. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Gillette, WY. The record was last updated on May 24, 2019.