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 Ste 200, Denver CO 80218. 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 K via phone (303) 468-8844.

Contact Information

Primary practice address
1800 Emerson St Ste 200 Denver CO 80218
Phone: (303) 468-8844
Fax: (303) 468-8850
Website:
Map and Directions
Authorized official contact:
Name: Popham, Jerry K Doctor of Medicine (MD)
Phone: (303) 468-8844

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0769 Colorado

Profile Details

NPI number 1689748758
LBN Legal business name Park Avenue Surgery Center Llc
DBA Doing business as
Authorized official Popham, Jerry K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Jun 20th, 2008 - about 16 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 1689748758 NPPES
Colorado MEDICAID 88530221

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