Organization Active NPI

Roxbury Institute SLC Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Murray, UT
National Provider Identifier
1770360091
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.