Utah Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UTAH SURGICAL CENTER, LLC

Practice address

3715 W 4100 S
West Valley City, UT 84120-5537

Phone

(801) 957-0200

Fax

(801) 957-0201

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marla Jensen, RN, BSN

Title

Administrator

Phone

(801) 957-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1629032305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260211",
            "telephone_number": "801-957-0200",
            "fax_number": "801-957-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205537",
            "telephone_number": "801-957-0200",
            "fax_number": "801-957-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-957-0200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah CVS Pharmacy, L.L.C. (CVS Pharmacy # 10424)
• Utah Family Care LLC
• Utah Health Policy Project
• Utah Imaging Centers LLC
• Utah Professional Medical Services PLLC
• Kate Utley, PA-C
• Ilavalu Mapa Vaenuku II
• Justin Valdez, ATC, CSCS
• Valley Behavioral Health Incorporated
• Valley Medical Equipment Inc (Rotech)

• Ambulatory Surgical Clinic/Center in West Valley City, UT
• Providers in West Valley City, 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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.