Cache Valley Surgery Center, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

CACHE VALLEY SURGERY CENTER, LLC

Practice address

630 E 1400 N Ste 120
Logan, UT 84341-2549

Phone

(435) 787-7246

Fax

(435) 554-7381

NPI assigned

Jul 21, 2026

Organization subpart

Yes

Parent organization

CACHE VALLEY SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Ashley Pfatenhauer

Title

Credentialing/Contracting Manager

Phone

(435) 215-0230

Specialties & licenses 1

Addresses

Other names 1

• Cache Valley Healthcare Group Doing business as

Tax ID family

Cache Valley Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cache Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Logan, UT
  • NPI 1063037703
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cache Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Logan, UT
  • NPI 1063037703
  NPPES parent name

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1740101385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-787-7246",
            "fax_number": "435-554-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 120",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412549",
            "telephone_number": "435-787-7246",
            "fax_number": "435-554-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CACHE VALLEY SURGERY CENTER, LLC",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "PFATENHAUER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING MANAGER",
        "authorized_official_telephone_number": "435-215-0230"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cache Valley Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cache Valley Oxygen Inc
• Cache Valley Pathology, LLC
• Cache Valley Pediatric Dentistry
• Cache Valley Specialty Hospital
• Cache Valley Surgery Center, LLC
• Cache Valley Womens Center, PLLC
• Alexander J Calder, PH.D., LP
• Nathan H Call
• Shanna Lee Call
• Hollie Kay Callaway, PHD

• All providers in Logan, UT
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.