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Contact Information

SOUTH TOWN SURGERY GROUP, LLC
10011 S CENTENNIAL PKWY
SANDY, UT84070-4156
 Phone: 501-404-7246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for SOUTH TOWN SURGERY GROUP, LLC

NPI Number 1992182216
LBN Legal business name SOUTH TOWN SURGERY GROUP, LLC
Authorized official CAROLINA DELA PAVA - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2015
Last updated 05/06/2015 - About 11 years ago
Identifiers n/a
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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