Form Surgery Center Llc

LBN: Form Surgery Center Llc
Form Surgery Center Llc is an health care organization with primary practice located at 6322 S 3000 E Ste 170 , Salt Lake City UT 84121-7290. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Form Surgery Center Llc can be contacted via phone (801) 513-3223, or through Ward, Janie via phone (801) 513-3223.

Contact Information

Primary practice address
6322 S 3000 E Ste 170 Salt Lake City UT 84121-7290
Phone: (801) 513-3223
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, Janie
Phone: (801) 513-3223

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 4972C Utah

Profile Details

NPI number 1457863912
LBN Legal business name Form Surgery Center Llc
DBA Doing business as
Authorized official Ward, Janie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2017
Last updated Apr 5th, 2021 - about 4 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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