Colorado Surgical Clinic, Pc

LBN: Colorado Surgical Clinic, Pc
Colorado Surgical Clinic, Pc is an health care organization with primary practice located at 640 Southpointe Ct 150, Colorado Springs CO 80906-3856. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Colorado Surgical Clinic, Pc can be contacted via phone (719) 540-6350, or through Renehan, Bradley W via phone (719) 540-6350.

Contact Information

Primary practice address
640 Southpointe Ct 150 Colorado Springs CO 80906-3856
Phone: (719) 540-6350
Fax: (719) 527-9487
Website:
Map and Directions
Authorized official contact:
Name: Renehan, Bradley W MD,DDS
Phone: (719) 540-6350

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8508 Colorado

Profile Details

NPI number 1598936163
LBN Legal business name Colorado Surgical Clinic, Pc
DBA Doing business as
Authorized official Renehan, Bradley W MD,DDS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2008
Last updated Mar 21st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598936163 NPPES
Colorado MEDICAID 49086804

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