Provider Demographics
NPI:1912053570
Name:BELMAR AMBULATORY SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:BELMAR AMBULATORY SURGICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-799-0712
Mailing Address - Street 1:325 S TELLER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-7389
Mailing Address - Country:US
Mailing Address - Phone:303-934-7000
Mailing Address - Fax:303-934-7006
Practice Address - Street 1:325 S TELLER ST STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-7389
Practice Address - Country:US
Practice Address - Phone:303-934-7000
Practice Address - Fax:303-934-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800781Medicare PIN