Provider Type Icon

ST GEORGE ENDOSCOPY CENTER LLC NPI 1457325573


NPI Information

NPI: 1457325573
Provider Name: ST GEORGE ENDOSCOPY CENTER LLC

Doing Business As: ST. GEORGE ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
368 E RIVERSIDE DR
SUITE B
ST GEORGE, UT
ZIP 84790
Phone: (435) 674-3109
Get Directions

ST GEORGE ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in St George, UT. ST GEORGE ENDOSCOPY CENTER LLC NPI is 1457325573. The provider is registered as an organization entity type.
The provider Is Doing Business As St. George Endoscopy Center.

The provider's business location address is:

368 E RIVERSIDE DR
SUITE B
ST GEORGE, UT
ZIP 84790-896
Phone: (435) 674-3109
Fax: (435) 674-3505

The provider's authorized official is Phillip A Clendenin .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 4/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical2004-ASF-49065UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000100079MEDICARE PINUTAH
2=========001MEDICAIDUTAH
346C0001035MEDICARE OSCAR/CERTIFICATIONUTAH
4P00052658MEDICARE PINUTAH

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: 11/14/2023

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.