NORTHGLENN ENDOSCOPY CENTER LLC


Address: 11900 Grant Street, #320, Northglenn, CO 80233
Phone: 3036045000

NORTHGLENN ENDOSCOPY CENTER LLC (NPI# 1962958223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962958223
Entity Type Organization
Organization Name NORTHGLENN ENDOSCOPY CENTER LLC
Practice Address 11900 Grant Street
#320
Northglenn
CO 80233
Mailing Address 382 S Arthur Ave
Louisville
CO 80027-3094
Practice Telephone 3036045000
Practice Fax Number 7208900364
Mailing Telephone 3036045000
Mailing Fax Number 7208900364
Enumeration Date 2016-08-28
Last Update Date 2020-03-05
Authorized Official Name MR. DAUS MAHNKE (BOARD MEMEBER)
Authorized Official Telephone 3036045000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 9000154492 05

Office Location

Street Address 11900 GRANT STREET
#320
City NORTHGLENN
State CO
Zip Code 80233

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1912460015 Premier Eye Surgery Center of Colorado, LLC Clinic/Center 1050 W. South Boulder Road, Lafayette, CO 80026 2019-04-08
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Competitor

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City NORTHGLENN
Zip Code 80233

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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