Healthcare Provider Details

I. General information

NPI: 1568750255
Provider Name (Legal Business Name): SURGICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 ARAPAHOE RD SUITE 132 BOX 250
LAFAYETTE CO
80026-8018
US

IV. Provider business mailing address

2770 ARAPAHOE RD SUITE 132 BOX 250
LAFAYETTE CO
80026-8018
US

V. Phone/Fax

Practice location:
  • Phone: 970-301-5763
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name: JAN DECHANT
Title or Position: MANAGER
Credential:
Phone: 970-301-5763