Provider Demographics
NPI:1326557653
Name:SJ EAST CAMPUS ASC, LLC
Entity Type:Organization
Organization Name:SJ EAST CAMPUS ASC, LLC
Other - Org Name:DENVER SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER, ST. JOSEPH
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARB
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-812-4934
Mailing Address - Street 1:1830 FRANKLIN STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218
Mailing Address - Country:US
Mailing Address - Phone:832-472-2028
Mailing Address - Fax:
Practice Address - Street 1:1830 N FRANKLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1128
Practice Address - Country:US
Practice Address - Phone:832-472-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical