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
Phone: (970) 945-6533
Fax: (970) 945-3945
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447308465 | NPPES |
Colorado | Other | 607484 | BCBS |
Colorado | Other | CG 5876 | BCBS |
Colorado | MEDICAID | 04020459 | BCBS |
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