Provider Demographics
NPI:1174590434
Name:HARMONY SURGERY CENTER, LLC
Entity type:Organization
Organization Name:HARMONY SURGERY CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNOR, CASC
Authorized Official - Phone:970-297-6350
Mailing Address - Street 1:2127 E HARMONY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3405
Mailing Address - Country:US
Mailing Address - Phone:970-297-6350
Mailing Address - Fax:970-297-6440
Practice Address - Street 1:2127 E HARMONY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3405
Practice Address - Country:US
Practice Address - Phone:970-297-6350
Practice Address - Fax:970-297-6440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0630261QA1903X
CO0629261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCA61061OtherMEDICARE LEGACY
CO23328045Medicaid
COCA61061OtherMEDICARE LEGACY