DAVIS SURGICAL CENTER, LLC; NPI #1811973589

Contact Information

DAVIS SURGICAL CENTER, LLC

1544 W ANTELOPE DR
LAYTON, UT 84041-1146

Phone: 801-773-3339
Fax:
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 DAVIS SURGICAL CENTER, LLC

NPI Number 1811973589

LBN Legal business name DAVIS SURGICAL CENTER, LLC

Authorized official DANECE FICKETT - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/15/2005

Last updated 03/28/2012 - About 14 years ago

Identifiers

License #

2004-ASF-909

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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