Active NPI
Avenues Surgery Center, LLC
Doing business as Intermountain Health Surgery Center - Avenues
- Ambulatory Surgical Clinic/Center
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Intermountain Surgery Center - Avenues
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Terminated Voluntary: merger or closure, Jun 5, 2024
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2301955 | Avenues Surgery Center, LLC | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Snowbasin Emergency Clinic
- Emergency Medicine Physician
- Huntsville, UT
- NPI 1255465142
Member Of
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.