Active NPI
MCR Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Loveland, CO
National Provider Identifier
1568659738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MCR SURGERY CENTER, LLC
- Practice address
- 2500 Rocky Mountain Ave
Suite 200
Loveland, CO 80538-9004 - Phone
- (970) 297-6425
- Fax
- (970) 297-6440
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca R Craig
- Title
- Ceo
- Phone
- (970) 297-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2500 Rocky Mountain Ave
Suite 200
Loveland, CO 80538-9004
Mailing address
2127 E Harmony Rd
Suite 200
Fort Collins, CO 80528-3405
Phone (970) 297-6425
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139068 | Medicaid | CO | |
| COB4183 | Other | MEDICARE PTAN NUMBER |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232409600000",
"number": "1568659738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 E HARMONY RD",
"address_2": "SUITE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283405",
"telephone_number": "970-297-6425",
"fax_number": "970-297-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE",
"address_2": "SUITE 200",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "970-297-6425",
"fax_number": "970-297-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2009-01-20",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-297-6350",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139068",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NUMBER",
"identifier": "COB4183",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.