MOUNTAIN WEST SURGERY CENTER LLC NPI 1003119470

NPI Information

  • NPI: 1003119470
  • Provider Name: MOUNTAIN WEST SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 46D1024014
  • Address: 1551 SOUTH RENAISSANCE TOWNE DR
    SUITE 200
    BOUNTIFUL, UT
    ZIP 84010
  • Phone: (801) 383-1111

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NPI Details

MOUNTAIN WEST SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bountiful, UT. MOUNTAIN WEST SURGERY CENTER, LLC NPI is 1003119470. The provider is registered as an organization entity type.

The provider's business location address is:

1551 SOUTH RENAISSANCE TOWNE DR
SUITE 200
BOUNTIFUL, UT
ZIP 84010-668
Phone: (801) 383-1111
Fax: (801) 383-1115

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 46D1024014 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg (HCPCS:Q9968)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Relocation of tendon of forearm and/or wrist (HCPCS:25310)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of implant material from inside of eye (HCPCS:67121)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)

The enumeration date for this NPI number is 12/7/2010 and was last updated on 4/6/2018.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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