Healthcare Provider Details

I. General information

NPI: 1548738495
Provider Name (Legal Business Name): OCR LOVELAND ASC & CCC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 E 15TH ST
LOVELAND CO
80538-8809
US

IV. Provider business mailing address

3470 E 15TH ST
LOVELAND CO
80538-8809
US

V. Phone/Fax

Practice location:
  • Phone: 970-292-1900
  • Fax: 970-292-1911
Mailing address:
  • Phone: 970-292-1900
  • Fax: 970-292-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN HOFFMAN
Title or Position: DIRECTOR OF CENTRAL SERVICES
Credential:
Phone: 970-419-7014