THE SURGICARE CENTER OF UTAH NPI 1366550170

NPI Information

NPI: 1366550170
Provider Name: THE SURGICARE CENTER OF UTAH
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
755 E 3900 S
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 266-2283
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THE SURGICARE CENTER OF UTAH is an ambulatory surgical clinic center in Salt Lake City, UT. THE SURGICARE CENTER OF UTAH NPI is 1366550170. The provider is registered as an organization entity type.

The provider's business location address is:

755 E 3900 S
SALT LAKE CITY, UT
ZIP 84107-105
Phone: (801) 266-2283
Fax: (801) 268-6151

The provider's authorized official is Alan Crandall .
The authorized official title is President and has the following contact phone number (801) 266-2283.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 10/12/2009.

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	2004ASF276	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	GRP109526900	MEDICAID	WYOMING
2	4900001440	OTHER	UTAH	RAILROAD MEDICARE
3	U000001006	MEDICARE PIN	UTAH
4	=========022	MEDICAID	UTAH

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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