SWEETWATER SURGERY CENTER LLC NPI 1336144617

NPI Information

  • NPI: 1336144617
  • Provider Name: SWEETWATER SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 53D1001331
  • Address: 2761 COMMERCIAL WAY
    ROCK SPRINGS, WY
    ZIP 82901
  • Phone: (307) 382-6873

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NPI Details

SWEETWATER SURGERY CENTER LLC is an ambulatory surgical clinic center in Rock Springs, WY. SWEETWATER SURGERY CENTER LLC NPI is 1336144617. The provider is registered as an organization entity type.

The provider's business location address is:

2761 COMMERCIAL WAY
ROCK SPRINGS, WY
ZIP 82901-753
Phone: (307) 382-6873
Fax: (307) 382-6869

The provider's authorized official is Peter Jensen .
The authorized official title is Medical Director and has the following contact phone number (307) 382-6873.

The CLIA number assigned to this NPI record is 53D1001331 - 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.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Control of bleeding of upper large bowel using a flexible endoscope (HCPCS:45382)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)

The enumeration date for this NPI number is 6/14/2005 and was last updated on 11/2/2007.

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 Surgical05-124WYOMINGYes

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
1W9025MEDICARE PINWYOMING

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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