Grand Valley Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1611ND Issued in CO

Legal business name

GRAND VALLEY SURGICAL CENTER, LLC

Practice address

710 Wellington Ave Ste 21
Grand Junction, CO 81501-6102

Phone

(970) 298-7800

Fax

(970) 298-7850

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mitchell Schwarzbach

Title

Administrator

Phone

(970) 298-7822

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Grand Valley Surgical Center LLCCCN 06C0001054

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

Member of 1

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

• St Mary'S Hospital and Medical Center, Inc

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806

  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.

• Duane O Hartshorn, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1811983133
  NPD
• Joel W Schaefer, MD

  • Surgery Physician
  • Grand Junction, CO
  • NPI 1558474676
  NPD

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1942207196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WELLINGTON AVE STE 21",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016102",
            "telephone_number": "970-298-7800",
            "fax_number": "970-298-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WELLINGTON AVE STE 21",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016102",
            "telephone_number": "970-298-7800",
            "fax_number": "970-298-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARZBACH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-298-7822"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "1611ND",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO DEPT OF PUBLIC HEALTH AND ENVIRONMENT ASC LICENSE",
            "identifier": "1611ND",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25273388",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Valley Orthopedics
• Grand Valley Orthopedics
• Grand Valley Orthopedics
• Grand Valley Psych Services
• Grand Valley Senior Daybreak Inc
• Grand View Care Lodge
• Grand Villa Living Group LLC
• Janet V Grant, CNM
• Kathleen Ilia Grasso, RPH
• Ashley Noelle Graves

• Ambulatory Surgical Clinic/Center in Grand Junction, CO
• Providers in Grand Junction, 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 Sep 11, 2018; 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.