BLACK CANYON SURGICAL CENTER, LLC
NPI 1578515367
Clinic/Center - Ambulatory Surgical in Montrose, CO

Active since May 17, 2006CLIA 06D1049276 · Waiver
611 E. STAR CT., SUITE C, MONTROSE, CO 81401(970) 249-6842(970) 249-6942 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Black Canyon Surgical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK CANYON SURGICAL CENTER, LLC (NPI 1578515367) is a healthcare organization registered as an ambulatory surgical in Montrose, Colorado and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists John Phillip Harper, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578515367
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLACK CANYON SURGICAL CENTER, LLC
Location Address611 E. STAR CT., SUITE CMontrose, CO 81401-6701
Mailing Address611 E. Star Ct., Suite CMontrose, CO 81401-6701 · (970) 249-6842 · Fax (970) 249-6942
Fax(970) 249-6942
Organization SubpartNo
Authorized OfficialJohn Phillip HarperAdministrator · (970) 249-6842
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1578515367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CO · 0539
611 E. STAR CT., Montrose, CO 81401

Other Identifiers 5

Medicaid75038358CO
Medicare PINC805204
OtherP00307659GA · Palmetto Railroad Medicar
Other67515 BLCO · Anthem Blue Cross Blue Sh
Other=========F01CO · Rocky Mountain Health Pla

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D1049276

Black Canyon Surgical Center · Montrose, CO
Active · expires Dec 29, 2027
CLIA Number06D1049276
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorDr. Paul W. Rinne
Laboratory Phone(970) 249-6842
Laboratory LocationBlack Canyon Surgical Center611 East Star Court, Suite C, Montrose, CO 81401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
1,906 services12 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
266 services179 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
198 services198 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
98 services97 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
74 services74 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
59 services49 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Canyon Surgical Center, LLC's NPI number?

The NPI number for Black Canyon Surgical Center, LLC is 1578515367. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Black Canyon Surgical Center, LLC located?

Black Canyon Surgical Center, LLC is located at 611 E. Star Ct. Suite C, Montrose, CO 81401. The listed phone number is (970) 249-6842.

What is Black Canyon Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Black Canyon Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1049276) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Black Canyon Surgical Center, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.