Healthcare Provider Details

I. General information

NPI: 1740638956
Provider Name (Legal Business Name): WOMEN'S HEALTH SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 05/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 GRANT ST SUITE 405
THORNTON CO
80229-4385
US

IV. Provider business mailing address

9195 GRANT ST SUITE 405
THORNTON CO
80229-4385
US

V. Phone/Fax

Practice location:
  • Phone: 303-280-2229
  • Fax: 303-280-0765
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ERIN MARCHANT
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 303-280-2229