St. George Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST. GEORGE SURGERY CENTER, LLC

Practice address

652 S Medical Center Dr Ste 200
St George, UT 84790-7049

Phone

(435) 272-4523

Fax

(435) 359-5020

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Mitchell Cloward

Title

Administrator

Phone

(435) 251-2106

Specialties & licenses 1

Addresses

Other names 2

• Intermountain Health Surgery Center - St. George Doing business as
• Intermountain Surgery Center - St. George Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

St George Surgery Center LLC Dba Surgery Center St GeorgeCCN 46C0001074

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

Locations

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1104401561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 S MEDICAL CENTER DR STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907049",
            "telephone_number": "435-272-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 S MEDICAL CENTER DR STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907049",
            "telephone_number": "435-272-4523",
            "fax_number": "435-359-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "CLOWARD",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-251-2106"
    },
    "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 - St. George",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Surgery Center - St. George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. George OBGYN LLC
• St. George PDC PLLC
• St. George Radiology Inc.
• St. George Red Rocks PC
• St. George Senior Care
• Stable Environment LLC
• Deanne Staheli, APRN
• Maegan E Staheli
• Paul Staheli, PHD
• Kathleen M Stahl, NP

• All providers in St George, UT
• 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.