Provider Demographics
NPI:1447799044
Name:GREENWOOD ASC, LLC
Entity Type:Organization
Organization Name:GREENWOOD ASC, LLC
Other - Org Name:COLORADO PREMIER SURGERY CENTER AT LAKEWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER / AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-763-3890
Mailing Address - Street 1:355 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-6516
Mailing Address - Country:US
Mailing Address - Phone:972-763-3893
Mailing Address - Fax:303-689-8700
Practice Address - Street 1:355 UNION BLVD STE 10
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1500
Practice Address - Country:US
Practice Address - Phone:972-763-3893
Practice Address - Fax:972-692-6745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical