Park Avenue Surgery Center Llc

LBN: Park Avenue Surgery Center Llc
Park Avenue Surgery Center Llc is an health care organization with primary practice located at 1800 Emerson St #220, Denver CO 80218-1014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Park Avenue Surgery Center Llc can be contacted via phone (303) 468-8844, or through Popham, Jerry Kirk via phone (303) 468-8844.

Contact Information

Primary practice address
1800 Emerson St #220 Denver CO 80218-1014
Phone: (303) 468-8844
Fax: (303) 468-8850
Website:
Map and Directions
Authorized official contact:
Name: Popham, Jerry Kirk Doctor of Medicine (MD)
Phone: (303) 468-8844

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0471 Colorado

Profile Details

NPI number 1154328508
LBN Legal business name Park Avenue Surgery Center Llc
DBA Doing business as
Authorized official Popham, Jerry Kirk Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154328508 NPPES
Colorado Other 0471 STATE LICENSE

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