Provider Demographics
NPI:1487096061
Name:ARETE SURGICAL CENTER, LLC
Entity type:Organization
Organization Name:ARETE SURGICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:K
Authorized Official - Last Name:DHUPAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-353-5959
Mailing Address - Street 1:4397 RONALD REAGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-6445
Mailing Address - Country:US
Mailing Address - Phone:970-663-3200
Mailing Address - Fax:970-663-4227
Practice Address - Street 1:4397 RONALD REAGAN BOULEVARD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-6441
Practice Address - Country:US
Practice Address - Phone:970-663-3200
Practice Address - Fax:970-663-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical