BLACK ROCK SURGERY CENTER LLC
NPI 1669039640
Clinic/Center - Ambulatory Surgical in Gillette, WY

Active since May 24, 2019
2901 POWDER BASIN AVE, GILLETTE, WY 82718(307) 682-6222(307) 682-6999 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Rock Surgery Center Llc NPPES

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

BLACK ROCK SURGERY CENTER LLC (NPI 1669039640) is a healthcare organization registered as an ambulatory surgical in Gillette, Wyoming and active in the NPI registry since May 2019. The organization lists Mark G Murphy, Owner, as its authorized official.

NPPES Registry Identity

NPI1669039640
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLACK ROCK SURGERY CENTER LLC
Location Address2901 POWDER BASIN AVEGillette, WY 82718-6406
Mailing AddressPo Box 688Douglas, WY 82633-0688 · (307) 358-6200 · Fax (307) 358-3748
Fax(307) 682-6999
Organization SubpartNo
Authorized OfficialMark G MurphyOwner · (307) 358-6200
Enumeration DateMay 24, 2019
NPI 1669039640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2901 POWDER BASIN AVE, Gillette, WY 82718

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Hand Surgery)
2901 POWDER BASIN AVE
GILLETTE, WY 82718
Physician Assistant (Surgical)
2901 POWDER BASIN AVE
GILLETTE, WY 82718
Orthopaedic Surgery
2901 POWDER BASIN AVE
GILLETTE, WY 82718

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 Rock Surgery Center LLC's NPI number?

The NPI number for Black Rock Surgery Center LLC is 1669039640. It was assigned to this organization in the NPPES registry on May 24, 2019.

Where is Black Rock Surgery Center LLC located?

Black Rock Surgery Center LLC is located at 2901 Powder Basin Ave, Gillette, WY 82718. The listed phone number is (307) 682-6222.

What is Black Rock Surgery Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Black Rock Surgery Center LLC was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.