Alpine Surgical Center, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Ogden, UT
NPI 1649278581 · NPPES record last updated May 30, 2013
Key facts
- NPI
- 1649278581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 46C001031 (UT)
- Legal business name
- ALPINE SURGICAL CENTER, LLC
- Practice address
- 5405 S 500 E
Suite101
Ogden, UT 84405-6957 - Phone
- (801) 689-3500
- Fax
- (801) 689-3505
- NPI assigned
- Jul 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Randall D. Barnett, MD
- Title
- Medical Director
- Phone
- (801) 689-3500
Practitioners 3
-
Brendan E Smith, M.D.
-
Clinton Bradshaw Webster, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Alpine Surgical Center LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101222000879 | UT | Part B Supplier - Ambulatory Surgical Center | 1355539099 | Practice locations: Ogden, UT |
National Provider Directory
Locations
4403 Harrison Blvd
Ste 368
Ogden, UT 84403
Phone (801) 387-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 46C001031 | UT | Yes |
Addresses
Primary practice location
5405 S 500 E
Suite101
Ogden, UT 84405-6957
Mailing address
5405 S 500 E
Suite101
Ogden, UT 84405-6957
Phone (801) 689-3500
Other providers in Ogden, UT
- Mary Almony
- Alpha Counseling and Treatment, Inc
- Alpha Counseling and Treatment, Inc.
- Alpine Home Medical Equipment LLC
- Alpine Plastic and Reconstructive Surgery, LLC
- Skylar Alsop
- Mathew Alvarez
- Amaryllis Counseling
- Gina Marie Ambrose
- Amce Physicians Group
All providers in Ogden, UT · Ambulatory Surgical Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.