Logan Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LOGAN SURGERY CENTER, LLC

Doing business as

Intermountain Health Surgery Center - Logan
Intermountain Surgery Center - Logan

Practice address

1350 N 500 E
Logan, UT 84341-2400

Phone

(435) 363-9265

NPI assigned

Jul 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon McBride

Title

Administrator

Phone

(435) 890-0263

Specialties & licenses 1

Addresses

Other names 2

• Intermountain Health Surgery Center - Logan Doing business as
• Intermountain Surgery Center - Logan Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

Logan Surgery Center LLC Dba Intermountain Surgery Center LoganCCN 46C0001072

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ihc Health Services Inc.

  • Emergency Medicine Physician
  • Huntsville, UT
  • NPI 1255465142

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1063082980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N 500 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412400",
            "telephone_number": "435-363-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N 500 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412400",
            "telephone_number": "435-363-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-890-0263"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Surgery Center - Logan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Surgery Center - Logan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Physical Therapy PC
• Logan Radiology Group LLC
• Logan River Academy, LLC
• Logan River Eye Care
• Logan Sleep Diagnostics, Inc
• Logan Surgical Suites LLC
• Logan Urgent Care
• Logan Urology Clinic
• Logansmiles LLC
• Ashley Lomu

• Ambulatory Surgical Clinic/Center in Logan, UT
• Providers in Logan, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.