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NPI Code Detail

MEDICARE: HIGHLINE SOUTH AMBULATORY SURGERY CENTER, LLC

MEDICARE: HIGHLINE SOUTH AMBULATORY SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1588756621
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLINE SOUTH AMBULATORY SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 11 W DRY CREEK CIR STE 120
Second Line :
City : LITTLETON
State : CO
Zip : 80120-8078
Country : US
Telephone Number : 303-951-8100
Fax Number : 720-463-1090
Provider Business Practice Location Address
First Line : 11 W DRY CREEK CIR STE 120
Second Line :
City : LITTLETON
State : CO
Zip : 80120-8078
Country : US
Telephone Number : 303-951-8100
Fax Number : 303-951-8105
Authorized Official
Title or Position : MANAGER OF PCM TEAM, SURGERYDIRECT
Name : CHRISTY CHRISTOPHER
Credential : RN
Telephone Number : 214-673-5147
Provider Enumeration Date : 09/28/2006
Last Update Date : 04/24/2025

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