GRANITE PEAKS SURGICENTER, LLC – NPI #1386410983
Clinic/Center

GRANITE PEAKS SURGICENTER, LLC is an AHC clinic located in SANDY, UT. NPPES has assigned the NPI number 1386410983 to GRANITE PEAKS SURGICENTER, LLC on November 27, 2023. 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

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 GRANITE PEAKS SURGICENTER, LLC below.

NPI Profile for
GRANITE PEAKS SURGICENTER, LLC

NPI Number
1386410983
Enumeration Date

(more than 2 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
GRANITE PEAKS SURGICENTER, LLC
Primary location
10150 S PETUNIA WAY STE B
SANDY, UT 84092-4328
Phone: (801) 742-1914 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM SWINNEY
VP
Phone: (972) 789-2877
Updated
Certification Date
Nov 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.