Longmont-Mountain View Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LONGMONT-MOUNTAIN VIEW SURGERY CENTER LLC

Practice address

2030 Mountain View Ave
Suite 100
Longmont, CO 80501-3178

Phone

(972) 763-3893

Fax

(972) 692-6745

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Jenetha D Moran

Title

Officer / Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Member of 1

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

• Longmont United Hospital

  • Rural Health Clinic/Center
  • Berthoud, CO
  • NPI 1952322315

  Member Of

  NPD member

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1780130252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY",
            "address_2": "SUITE 1600",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014637",
            "telephone_number": "972-763-3893",
            "fax_number": "972-692-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 100",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "972-763-3893",
            "fax_number": "972-692-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT-MOUNTAIN VIEW SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longmont United Hospital
• Longmont United Hospital
• Longmont United Hospital
• Longmont United Hospital
• Longmont Vision Center LLC
• Longs Peak Emergency Physicians, PC
• Longs Peak Family Practice, PC
• Longs Peak Healthcare, Inc.
• Longs Peak Healthcare, Inc.
• Longs Peak Hospital

• All providers in Longmont, CO
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.