Organization Active NPI

Avenues Surgery Center, LLC

Doing business as Intermountain Health Surgery Center - Avenues

  • Ambulatory Surgical Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1164647707
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AVENUES SURGERY CENTER, LLC
Doing business as
Intermountain Health Surgery Center - Avenues
Intermountain Surgery Center - Avenues
Practice address
359 E 8TH Ave
Salt Lake City, UT 84103-2895
Phone
(385) 355-7278
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Heather Wall
Title
Board Chairman
Phone
(801) 408-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

359 E 8TH Ave
Salt Lake City, UT 84103-2895

Mailing address

359 E 8TH Ave
Salt Lake City, UT 84103-2895
Phone (385) 355-7275

Other names 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250501000321 UT Part B Supplier - Ambulatory Surgical Center 3375069404 Practice locations: Salt Lake City, UT

Ambulatory surgical center certification: CCN 46C0001092

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Intermountain Surgery Center - Avenues
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 23, 2025
Last certification
Jul 23, 2025
Ownership / control type
Non-Profit
Facility address
359 East 8th Avenue
Salt Lake City, UT 84103

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Avenues Surgical CenterCCN 46C0001003
Medicare certification status
Terminated Voluntary: merger or closure, Jun 5, 2024From the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2301955Avenues Surgery Center, LLC359 E 8TH Avenue, Salt Lake City, UT 84103Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

359 Eighth Ave
Ste 200
Salt Lake Cty, UT 84103

4646 W Lake Park Blvd
#3
West Valley City, UT 84120

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1164647707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E 8TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032895",
            "telephone_number": "385-355-7275",
            "fax_number": "801-326-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E 8TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032895",
            "telephone_number": "385-355-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "801-408-2504"
    },
    "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 - Avenues",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Surgery Center - Avenues",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.