The Surgicare Center Of Utah in Salt Lake City - Ambulatory Surgical

The Surgicare Center Of Utah - NPI 1366550170

The Surgicare Center Of Utah is a Ambulatory Surgical in Salt Lake City, Utah. The Surgicare Center Of Utah practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for The Surgicare Center Of Utah is 1366550170. The last update date is 2009-10-12.

The Surgicare Center Of Utah's current location address is 755 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012662283 and fax number 8012686151. The mailing address for The Surgicare Center Of Utah is 755 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Surgicare Center Of Utah
Address 755 E 3900 S, Salt Lake City, Utah
Phone Number 8012662283
Fax Number 8012686151
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Crandall Alan
Credentials M.D.
Telephone Number 8012662283

NPI Number Detail

NPI Number 1366550170
Provider Enumeration Date 2006-08-29
Last Updated Date 2009-10-12

Provider Mailing Address Detail

Address 755 E 3900 S
City Salt Lake City
State Utah (UT)
Post Code 841072105
Phone Number 8012662283
Fax Number 8012686151

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 2004ASF276
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GRP109526900 WY --
4900001440 UT RAILROAD MEDICARE

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FAQs about The Surgicare Center Of Utah

What is the unique 10-digit identification code issued to The Surgicare Center Of Utah by the Centers for Medicare & Medicaid Services?

The The Surgicare Center Of Utah has been assigned the NPI (National Provider Identifier) 1366550170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of The Surgicare Center Of Utah?

The The Surgicare Center Of Utah is situated at 755 E 3900 S, in the city of Salt Lake City, state of UT, with the zip code 841072105.

What is The Surgicare Center Of Utah's specialized field of practice, and what is the corresponding taxonomy classification code?

The The Surgicare Center Of Utah's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.

On what date did the The Surgicare Center Of Utah receive its 1366550170 assignment from the Centers for Medicare & Medicaid Services?

The The Surgicare Center Of Utah was assigned its 1366550170 by the Centers for Medicare & Medicaid Services on 2006-08-29.

When was the information pertaining to The Surgicare Center Of Utah most recently updated or revised?

The details related to The Surgicare Center Of Utah, including its address, specialty, and other relevant information, were last updated or revised on 2009-10-12.

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