Roaring Fork Surgical Associates Prof Llc

LBN: Roaring Fork Surgical Associates Prof Llc
Roaring Fork Surgical Associates Prof Llc is an health care organization with primary practice located at 1906 Blake Ave , Glenwood Springs CO 81601-4227. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Roaring Fork Surgical Associates Prof Llc can be contacted via phone (970) 945-6533, or through Nichol, Brad via phone (970) 945-6533.

Contact Information

Primary practice address
1906 Blake Ave Glenwood Springs CO 81601-4227
Fax: (970) 945-3945
Website:
Authorized official contact:
Name: Nichol, Brad Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 80.05611.1 Colorado

Profile Details

NPI number 1447308465
LBN Legal business name Roaring Fork Surgical Associates Prof Llc
DBA Doing business as
Authorized official Nichol, Brad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Feb 21st, 2018 - about 7 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 1447308465 NPPES
Colorado Other 607484 BCBS
Colorado Other CG 5876 BCBS
Colorado MEDICAID 04020459 BCBS

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