Organization Active NPI

Audubon Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1770180986
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AUDUBON AMBULATORY SURGERY CENTER LLC
Doing business as
Audubon ASC at St. Francis
Practice address
6011 E Woodmen Rd Ste 200
Colorado Springs, CO 80923-2604
Phone
(719) 355-3400
Fax
(719) 355-3398
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Christopher Hartshorn
Title
Officer/Authoized Official
Phone
(314) 800-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6011 E Woodmen Rd Ste 200
Colorado Springs, CO 80923-2604

Mailing address

6011 E Woodmen Rd Ste 200
Colorado Springs, CO 80923-2604
Phone (719) 355-3400

Other names 1

  • Audubon ASC at St. Francis Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@audubonsurgerycenter.com
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100122000114 CO Part B Supplier - Ambulatory Surgical Center 4385536663 1 other NPI on this enrollment
Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1089923Audubon ASC at St Francis6011 E Woodmen Rd #200, Colorado Springs, CO 80923Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Member of 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1770180986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232604",
            "telephone_number": "719-355-3400",
            "fax_number": "719-355-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232604",
            "telephone_number": "719-355-3400",
            "fax_number": "719-355-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICER/AUTHOIZED OFFICIAL",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@audubonsurgerycenter.com",
            "affiliation": "N",
            "address_1": "6011 E Woodmen Rd Ste 200",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809232604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6TH ST",
            "address_2": "#900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Audubon ASC at St. Francis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audubon ASC at St. Francis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.