Coral Desert Surgery Center Llc

LBN: Coral Desert Surgery Center Llc
Coral Desert Surgery Center Llc is an health care organization with primary practice located at 1490 E Foremaster Dr Building C, St George UT 84790-4488. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Coral Desert Surgery Center Llc can be contacted via phone (435) 674-5230, or through Nielson, Dan via phone (435) 674-5230.

Contact Information

Primary practice address
1490 E Foremaster Dr Building C St George UT 84790-4488
Phone: (435) 674-5230
Fax: (435) 674-5231
Website:
Map and Directions
Authorized official contact:
Name: Nielson, Dan
Phone: (435) 674-5230

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 2005-ASF-52092 Utah

Profile Details

NPI number 1346205176
LBN Legal business name Coral Desert Surgery Center Llc
DBA Doing business as
Authorized official Nielson, Dan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Jun 9th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346205176 NPPES
Utah Other P00085628 RAILROAD MEDICARE
Utah MEDICAID 838112 RAILROAD MEDICARE

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