Mountainwest Surgical Center Llc

LBN: Mountainwest Surgical Center Llc
Mountainwest Surgical Center Llc is an health care organization with primary practice located at 1551 S Renaissance Towne Dr Suite 200, Bountiful UT 84010-7667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mountainwest Surgical Center Llc can be contacted via phone (801) 383-1111, or through Berg, Brian via phone (801) 383-1111.

Contact Information

Primary practice address
1551 S Renaissance Towne Dr Suite 200 Bountiful UT 84010-7667
Phone: (801) 383-1111
Fax: (801) 383-1115
Website:
Map and Directions
Authorized official contact:
Name: Berg, Brian
Phone: (801) 383-1111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 2006-31532 Utah

Profile Details

NPI number 1124079843
LBN Legal business name Mountainwest Surgical Center Llc
DBA Doing business as
Authorized official Berg, Brian
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Oct 28th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124079843 NPPES
Utah MEDICAID 870630186001

Popular Providers