Canon City Co Multi Specialty ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16J165 Issued in CO

Legal business name

CANON CITY CO MULTI SPECIALTY ASC LLC

Doing business as

Arkansas Valley Surgery Center

Practice address

933 Sells Ave
Suite B
Canon City, CO 81212-4900

Phone

(719) 275-6433

NPI assigned

Jun 8, 2009

Last updated

Jan 5, 2023By 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

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• Arkansas Valley Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Canon City Co Multi Specialty ASC LLCCCN 06C0001114

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Catholic Health Initiatives Colorado

  dba NLSW Neurology SW

  • Neurological Surgery Physician
  • Durango, CO
  • NPI 1295186997

  Member Of

  NPD member

Practitioners 2

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.

• Christopher Todd Harrigan, M.D.

  • Urology Physician
  • Canon City, CO
  • NPI 1689753865
  NPD (past)
• Vincent Takwing Yu, M.D.

  • Surgery Physician
  • Canon City, CO
  • NPI 1033155742
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1750517561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: LICENSURE AND CERTIFICATION DEPT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-263-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 SELLS AVE",
            "address_2": "SUITE B",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124900",
            "telephone_number": "719-275-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON CITY CO MULTI SPECIALTY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "16J165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Valley Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Valley Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camelot Health Care, Inc. (Valley View Health Care Center)
• Elizabeth A Canda, LPTA
• Jeanne Anne Canda
• Canon Anesthesia Services, Inc
• Canon Chiropractic LLC
• Canon City Counseling & Psychotherapy Services
• Canon City Counseling, Inc
• Canon City Dental & Implants, PC
• Canon City Nursing and Rehab Center, LLC
• Canon City OBGYN PC

• Ambulatory Surgical Clinic/Center in Canon City, CO
• Providers in Canon City, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.