Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1063037703 |
| LBN Legal business name | CACHE VALLEY SURGERY CENTER, LLC |
| Authorized official | RYAN LECHEMINANT - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/09/2020 |
| Last updated | 02/15/2023 - About 3 years ago |
| Identifiers | n/a |
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CACHE VALLEY SURGERY CENTER, LLC
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