MOUNTAINWEST SURGICAL CENTER LLC – NPI #1124079843
Clinic/Center

MOUNTAINWEST SURGICAL CENTER LLC is an AHC clinic located in BOUNTIFUL, UT. NPPES has assigned the NPI number 1124079843 to MOUNTAINWEST SURGICAL CENTER LLC on May 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Oct 28, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINWEST SURGICAL CENTER LLC below.

NPI Profile for
MOUNTAINWEST SURGICAL CENTER LLC

NPI Number
1124079843
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINWEST SURGICAL CENTER LLC
Primary location
1551 S RENAISSANCE TOWNE DR
SUITE 200
BOUNTIFUL, UT 84010-7667
Phone: (801) 383-1111 Fax: (801) 383-1115
Mailing address
1551 RENAISSANCE TOWNE DR STE 200
BOUNTIFUL, UT 84010-7668
Phone: (801) 383-1111 Fax: (801) 383-1115
Organization Subpart
No
Authorized Official
BRIAN BERG
ADMINISTRATOR
Phone: (801) 383-1111
Updated
Identifiers

Identifiers for MOUNTAINWEST SURGICAL CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT870630186001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
UT 2006-31532

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.