CITY CREEK SURGICAL SERVICES NPI 1295187730

NPI Information

NPI: 1295187730
Provider Name: CITY CREEK SURGICAL SERVICES
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 46D2260954

Address:
1046 E 100 S
SUITE D
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 746-2885
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CITY CREEK SURGICAL SERVICES is an ambulatory surgical clinic center in Salt Lake City, UT. CITY CREEK SURGICAL SERVICES NPI is 1295187730. The provider is registered as an organization entity type.

The provider's business location address is:

1046 E 100 S
SUITE D
SALT LAKE CITY, UT
ZIP 84102-520
Phone: (801) 746-2885

The provider's authorized official is Daniel Cottam .
The authorized official title is Owner and has the following contact phone number (801) 746-2885.

The CLIA number assigned to this NPI record is 46D2260954 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2016 and was last updated on 7/8/2016.

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			Yes

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: 4/28/2024

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