EASTERN UTAH SURGICAL CENTER – NPI #1619048170
Clinic/Center

EASTERN UTAH SURGICAL CENTER is an AHC clinic located in PRICE, UT. NPPES has assigned the NPI number 1619048170 to EASTERN UTAH SURGICAL CENTER on November 13, 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 18 years ago on Jun 05, 2008. 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 EASTERN UTAH SURGICAL CENTER below.

NPI Profile for
EASTERN UTAH SURGICAL CENTER

NPI Number
1619048170
Enumeration Date

(more than 19 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
EASTERN UTAH SURGICAL CENTER
Primary location
200 N FAIRGROUNDS RD
SUITE 1
PRICE, UT 84501-4205
Phone: (435) 637-1744 Fax: (435) 637-1123
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY HANSEN
MEDICAL DIRECTOR
Phone: (435) 637-1744
Updated
Identifiers

Identifiers for EASTERN UTAH SURGICAL CENTER

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
OTHERBCBS PROVIDER NUMBERUT20034276600001
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 5249970-1704

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.