EASTERN UTAH SURGICAL CENTER; NPI #1619048170

Contact Information

EASTERN UTAH SURGICAL CENTER

200 N FAIRGROUNDS RD
SUITE 1
PRICE, UT 84501-4205

Phone: 435-637-1744
Fax: 435-637-1123
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for EASTERN UTAH SURGICAL CENTER

NPI Number 1619048170

LBN Legal business name EASTERN UTAH SURGICAL CENTER

Authorized official JEFFREY HANSEN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/13/2006

Last updated 06/05/2008 - About 18 years ago

Identifiers

UT	License #	5249970-1704
UT	Other	20034276600001	BCBS PROVIDER NUMBER

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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