Active NPI
Roxbury Institute SLC Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Murray, UT
National Provider Identifier
1770360091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ROXBURY INSTITUTE SLC SURGICAL CENTER LLC
- Practice address
- 6344 S 900 E
Murray, UT 84121-2439 - Phone
- (918) 851-3715
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 11, 2023
- 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
- Kassie Avila
- Title
- Manager
- Phone
- (918) 851-3715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6344 S 900 E
Murray, UT 84121-2439
Mailing address
6344 S 900 E
Murray, UT 84121-2439
Phone (918) 851-3715
National Provider Directory
National Provider DirectoryLocations
6344 S 900 E
Murray, UT 84121
Phone (801) 892-8222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1770360091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6344 S 900 E",
"city": "MURRAY",
"state": "UT",
"postal_code": "841212439",
"telephone_number": "918-851-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6344 S 900 E",
"city": "MURRAY",
"state": "UT",
"postal_code": "841212439",
"telephone_number": "918-851-3715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROXBURY INSTITUTE SLC SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "AVILA",
"authorized_official_first_name": "KASSIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "918-851-3715"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.