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Contact Information

ABERDEEN AMBULATORY SURGICAL CENTER, LLC
650 DITTMER AVENUE
PUEBLO, CO81005-1212
 Phone: 719-565-2000
 Fax: 719-565-2222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for ABERDEEN AMBULATORY SURGICAL CENTER, LLC

NPI Number 1194751784
LBN Legal business name ABERDEEN AMBULATORY SURGICAL CENTER, LLC
Authorized official CHARLES KESSLER - (MEDICAL DIRECTOR-MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 07/07/2021 - About 5 years ago
Identifiers
CO License # 0939
CO Medicaid 46726560
Other 06639AB BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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