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Contact Information

CORAL DESERT SURGERY CENTER LLC
1490 E FOREMASTER DR
BUILDING C
SAINT GEORGE, UT84790-4488
 Phone: 435-674-5230
 Fax: 435-674-5231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for CORAL DESERT SURGERY CENTER LLC

NPI Number 1346205176
LBN Legal business name CORAL DESERT SURGERY CENTER LLC
Authorized official DAN NIELSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2006
Last updated 06/09/2017 - About 9 years ago
Identifiers
UT License # 2005-ASF-52092
AZ Medicaid 838112
UT Other P00085628 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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