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CENTRAL UTAH SURGICAL CENTER L.L.C. NPI 1962463950


NPI Information

NPI: 1962463950
Provider Name: CENTRAL UTAH SURGICAL CENTER L.L.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1067 N 500 W
PROVO, UT
ZIP 84604
Phone: (801) 374-0354
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CENTRAL UTAH SURGICAL CENTER L.L.C. is an ambulatory surgical clinic center in Provo, UT. CENTRAL UTAH SURGICAL CENTER L.L.C. NPI is 1962463950. The provider is registered as an organization entity type.

The provider's business location address is:

1067 N 500 W
PROVO, UT
ZIP 84604-305
Phone: (801) 374-0354
Fax: (801) 344-8929

The provider's authorized official is Jill Andrews .
The authorized official title is Administrator and has the following contact phone number (801) 374-0354.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 4/20/2008.


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-725UTAHYes

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
187028102805001OTHERUTAHBCBS
2=========003MEDICAIDUTAH

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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