SURGICAL WOUND CARE ASSOCIATES – NPI #1174062376
Clinic/Center
SURGICAL WOUND CARE ASSOCIATES is an AHC clinic located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1174062376 to SURGICAL WOUND CARE ASSOCIATES on February 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SURGICAL WOUND CARE ASSOCIATES” is a dba name, the actual legal business name for this organization is DR. BRIAN LILJENQUIST PLLC. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 8 years ago on Jun 16, 2018. 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 SURGICAL WOUND CARE ASSOCIATES below.
NPI Profile for
DR. BRIAN LILJENQUIST PLLC
(more than 9 years ago)
All associated names:
Elite Primary Care
Surgical Wound Care Associates
SALT LAKE CITY, UT 84124 Phone: (801) 869-4100 Fax: (801) 869-4119
2 Other location(s):
Salt Lake City, UT 84124-1349
Phone: (801) 999-0261
Fax: (844) 436-6836
Spanish Fork, UT 84660-2060
Phone: (801) 999-0261
Fax: (844) 436-6836
MANAGING PARTNER
Phone: (801) 869-4100
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 |
|---|---|---|
| 261QM1300X - Clinic/Center / Multi-Specialty (Primary) |
UT | 8763069-1204 |
| 2251G0304X - Physical Therapist / Geriatrics |
UT | 292357-2401 |
| 213ES0103X - Podiatrist / Foot & Ankle Surgery |
UT | 83699990501 |
| 2086S0127X - Surgery / Trauma Surgery |
UT | 8763069-1204 |
| 208600000X - Surgery |
UT | 8763069-1204 |
| 207Q00000X - Family Medicine |
UT | 9140789-1205 |
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.