NORTHPOINTE SURGICAL CENTER LLC NPI 1255676920

NPI Information

NPI: 1255676920
Provider Name: NORTHPOINTE SURGICAL CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 46D2067524

Address:
2326 N 400 E STE 100
TOOELE, UT
ZIP 84074
Phone: (435) 843-0180
Get Directions

NORTHPOINTE SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Tooele, UT. NORTHPOINTE SURGICAL CENTER, LLC NPI is 1255676920. The provider is registered as an organization entity type.

The provider's business location address is:

2326 N 400 E STE 100
TOOELE, UT
ZIP 84074-460
Phone: (435) 843-0180
Fax: (435) 843-0181

The provider's authorized official is Combs Jo Melody .
The authorized official title is Administrator and has the following contact phone number (435) 843-0180.

The CLIA number assigned to this NPI record is 46D2067524 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2012 and was last updated on 3/7/2023.

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		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	6806D882440	OTHER	UTAH	GENERAL LIABILITY
2	46C0001058	OTHER	UTAH	MEDICARE CERTIFICATION NUMBER
3	U000086465	OTHER	UTAH	NORIDIAN PTAN NUMBER
4	2014-ASF-UT000647	OTHER	UTAH	PROFESSIONAL LICENSE
5	103541	OTHER	UTAH	AAAHC - ACCREDITATION
6	8929365-17014	OTHER	UTAH	PROFESSIONAL LICENSE PHARMACY CLASS B
7	6194	OTHER	UTAH	BUSINESS LICENSE - TOOELE
8	4310	OTHER	UTAH	X-RAY LICENSE NUMBER
9	46D2067524	OTHER	UTAH	CLIA
10	8929365-8913	OTHER	UTAH	PROFESSIONAL LICENSE CONTROLLED SUBSTANCE LICENSE
11	UT900010	OTHER	UTAH	MEDICAL MALPRACTICE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »