Healthcare Provider Details

I. General information

NPI: 1952376725
Provider Name (Legal Business Name): SUMMIT VIEW SURGERY CENTER, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7730 S BROADWAY
LITTLETON CO
80122-2602
US

IV. Provider business mailing address

7730 S BROADWAY
LITTLETON CO
80122-2602
US

V. Phone/Fax

Practice location:
  • Phone: 303-730-2376
  • Fax: 303-730-8147
Mailing address:
  • Phone: 303-730-2376
  • Fax: 303-730-8147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number9578
License Number StateCO

VIII. Authorized Official

Name: MRS. PATTI MAY
Title or Position: ADMINISTRATOR MANAGER
Credential: RN
Phone: 303-730-2376