PEAKS SURGERY CENTER LLC NPI 1629516901

NPI Information

NPI: 1629516901
Provider Name: PEAKS SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
320 RIVER PARK DR STE 125
PROVO, UT
ZIP 84604
Phone: (831) 588-7296
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PEAKS SURGERY CENTER, LLC is an ambulatory surgical clinic center in Provo, UT. PEAKS SURGERY CENTER, LLC NPI is 1629516901. The provider is registered as an organization entity type.

The provider's business location address is:

320 RIVER PARK DR STE 125
PROVO, UT
ZIP 84604-065
Phone: (831) 588-7296

The provider's authorized official is Lee J Marek .
The authorized official title is Member and has the following contact phone number (831) 588-7296.

The enumeration date for this NPI number is 2/7/2017 and was last updated on 4/16/2018.

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

NPI Synchronization or Removal

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