Mountainwest Surgical Center Llc in Bountiful - Ambulatory Surgical
Mountainwest Surgical Center Llc - NPI 1124079843
Mountainwest Surgical Center Llc is a Ambulatory Surgical in Bountiful, Utah. Mountainwest Surgical Center Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Mountainwest Surgical Center Llc is 1124079843. The last update date is 2009-10-28.
Mountainwest Surgical Center Llc's current location address is 1551 Renaissance Towne Dr Ste 200, Bountiful, Utah. You can contact this provider via phone number 8013831111 and fax number 8013831115. The mailing address for Mountainwest Surgical Center Llc is 1551 Renaissance Towne Dr Ste 200, Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountainwest Surgical Center Llc |
|---|---|
| Address | 1551 Renaissance Towne Dr Ste 200, Bountiful, Utah |
| Phone Number | 8013831111 |
| Fax Number | 8013831115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Berg Brian |
| Telephone Number | 8013831111 |
NPI Number Detail
| NPI Number | 1124079843 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2009-10-28 |
Provider Mailing Address Detail
| Address | 1551 Renaissance Towne Dr Ste 200 |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 840107668 |
| Phone Number | 8013831111 |
| Fax Number | 8013831115 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 2006-31532 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870630186001 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mountainwest Surgical Center Llc by the Centers for Medicare & Medicaid Services?
The Mountainwest Surgical Center Llc has been issued the NPI (National Provider Identifier) 1124079843, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mountainwest Surgical Center Llc?
The Mountainwest Surgical Center Llc is situated at 1551 Renaissance Towne Dr Ste 200, in the city of Bountiful, state of UT, with the zip code 840107668.
What is the Mountainwest Surgical Center Llc's area of specialization and corresponding taxonomy classification?
The Mountainwest Surgical Center Llc's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
On what date did the Mountainwest Surgical Center Llc receive the assignment of its 1124079843 from the Centers for Medicare & Medicaid Services?
The Mountainwest Surgical Center Llc was issued its 1124079843 by the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date was the information pertaining to Mountainwest Surgical Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountainwest Surgical Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-10-28.