SWEETWATER SURGERY CENTER LLC – NPI #1336144617
Clinic/Center

SWEETWATER SURGERY CENTER LLC is an AHC clinic located in ROCK SPRINGS, WY. NPPES has assigned the NPI number 1336144617 to SWEETWATER SURGERY CENTER LLC on June 14, 2005. 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 19 years ago on Nov 02, 2007. 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 SWEETWATER SURGERY CENTER LLC below.

NPI Profile for
SWEETWATER SURGERY CENTER LLC

NPI Number
1336144617
Enumeration Date

(about 21 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
SWEETWATER SURGERY CENTER LLC
Primary location
2761 COMMERCIAL WAY
ROCK SPRINGS, WY 82901-4753
Phone: (307) 382-6873 Fax: (307) 382-6869
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETER JENSEN
MEDICAL DIRECTOR
Phone: (307) 382-6873
Updated
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)		 WY 05-124

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.