DAVIS SURGICAL CENTER LLC NPI 1811973589

NPI Information

NPI: 1811973589
Provider Name: DAVIS SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1544 W ANTELOPE DR
LAYTON, UT
ZIP 84041
Phone: (801) 773-3339
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DAVIS SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Layton, UT. DAVIS SURGICAL CENTER, LLC NPI is 1811973589. The provider is registered as an organization entity type.

The provider's business location address is:

1544 W ANTELOPE DR
LAYTON, UT
ZIP 84041-146
Phone: (801) 773-3339

The provider's authorized official is Danece Fickett Fickett .
The authorized official title is Administrator and has the following contact phone number (801) 773-3339.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 3/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	2004-ASF-909	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000001038	MEDICARE ID-TYPE UNSPECIFIED	UTAH	PROVIDER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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