ARKANSAS VALLEY SURGERY CENTER
NPI 1255495990
Clinic/Center - Ambulatory Surgical in Canon City, CO

NPI Status: Active since December 20, 2006

Contact Information

933 SELLS AVE
SUITE B
CANON CITY, CO
ZIP 81212
Phone: (719) 275-6433
Fax: (719) 275-7009

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 06D1051802
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-09-2026

About ARKANSAS VALLEY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Arkansas Valley Surgery Center, a provider established in Canon City, Colorado operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255495990 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 162 (CO). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Eric C Carlson M.d. (Treasurer)

NPI
1255495990
Provider Name
ARKANSAS VALLEY SURGERY CENTER
Entity Type
Organization
Location Address
933 SELLS AVE SUITE B CANON CITY, CO 81212
Location Phone
(719) 275-6433
Location Fax
(719) 275-7009
Mailing Address
933 SELLS AVE SUITE B CANON CITY, CO 81212
Mailing Phone
(719) 275-6433
Mailing Fax
(719) 275-7009
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
11-13-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
162
License State
CO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERIC C CARLSON M.D.

Authorized Official Title
TREASURER
Authorized Official Phone
(719) 275-6433

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C804899MEDICARE UPIN (02)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D1051802
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 10, 2024
Certificate Expiration Date
March 09, 2026
Laboratory Director
DR. JAMES F. REPPERT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Arkansas Valley Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255495990, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 8 + 9 + 1 + 0 + 9 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1255495990.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
933 SELLS AVE
CANON CITY, CO 81212
Anesthesiology
933 SELLS AVE
CANON CITY, CO 81212
Nurse Anesthetist, Certified Registered
933 SELLS AVE
CANON CITY, CO 81212
Clinic/Center (Ambulatory Surgical)
933 SELLS AVE, SUITE B
CANON CITY, CO 81212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255495990, enumerated as an "organization" on December 20, 2006.

The provider is located at 933 SELLS AVE SUITE B CANON CITY, CO 81212 and the phone number is (719) 275-6433.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.