Eastern Utah Surgical Center

LBN: Eastern Utah Surgical Center
Eastern Utah Surgical Center is an health care organization with primary practice located at 200 N Fairgrounds Rd Suite 1, Price UT 84501-4205. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Eastern Utah Surgical Center can be contacted via phone (435) 637-1744, or through Hansen, Jeffrey E via phone (435) 637-1744.

Contact Information

Primary practice address
200 N Fairgrounds Rd Suite 1 Price UT 84501-4205
Phone: (435) 637-1744
Fax: (435) 637-1123
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Jeffrey E Doctor of Medicine (MD)
Phone: (435) 637-1744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 5249970-1704 Utah

Profile Details

NPI number 1619048170
LBN Legal business name Eastern Utah Surgical Center
DBA Doing business as
Authorized official Hansen, Jeffrey E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 5th, 2008 - about 17 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 1619048170 NPPES
Utah Other 20034276600001 BCBS PROVIDER NUMBER

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