Provider Demographics
NPI:1780700773
Name:SURGICAL ASSISTING SERVICES
Entity type:Organization
Organization Name:SURGICAL ASSISTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:STRATTON
Authorized Official - Last Name:CORENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:979-376-4153
Mailing Address - Street 1:PO BOX 959
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-0959
Mailing Address - Country:US
Mailing Address - Phone:979-376-4153
Mailing Address - Fax:970-926-5764
Practice Address - Street 1:181 W MEADOW DR
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-5242
Practice Address - Country:US
Practice Address - Phone:970-376-4153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106668282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural