Copper City Surgery Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COPPER CITY SURGERY CENTER, PLLC

Practice address

2760 Elizabeth Warren Ave
Butte, MT 59701

Phone

(406) 541-3937

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Peterson

Title

Ceo

Phone

(406) 541-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Listed as

Copper City Surgery CenterCCN 27C0001031

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clay Daniel Holley, M.D.

  • Ophthalmology Physician
  • Butte, MT
  • NPI 1346565330
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1598339392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4907",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064907",
            "telephone_number": "406-541-3937",
            "fax_number": "406-541-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 ELIZABETH WARREN AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "59701",
            "telephone_number": "406-541-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER CITY SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-541-3937"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Jean Cooney, D.C.
• Cooneys Chiropractic
• Corymarie Cooper, RPH
• Copper City Physical Therapy PC
• Copper City Radiology PC
• Copper Creek Counseling, LLC
• Copper Ridge Nursing and Rehab Center LLC
• Cornerstone Caregiving West LLC
• Florian M Cortese, M.D.
• Amy Rae Cotton-Muccie

• Ambulatory Surgical Clinic/Center in Butte, MT
• Providers in Butte, MT by specialty
• Ambulatory Surgical Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.