Central Utah Surgical Center L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2004-ASF-725 Issued in UT

Legal business name

CENTRAL UTAH SURGICAL CENTER L.L.C.

Practice address

1067 N 500 W
Provo, UT 84604-3305

Phone

(801) 374-0354

Fax

(801) 344-8929

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Jill Andrews

Title

Administrator

Phone

(801) 374-0354

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Revere Health PC

  • Orthopaedic Surgery Physician
  • Salem, UT
  • NPI 1942233986

  Member Of

  NPD member

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962463950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271472",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271472",
            "telephone_number": "801-374-0354",
            "fax_number": "801-344-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-374-0354",
            "fax_number": "801-344-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH SURGICAL CENTER L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-374-0354"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "2004-ASF-725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87028102805001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Utah Enterprises
• Central Utah Enterprises
• Central Utah Eye Associates
• Central Utah Foot Clinic, LLC
• Central Utah Optical
• Centre Health Group
• Centre You Ketamine LLC
• Yael Cerero Perote
• Chad Christiansen, MD, LLC
• Melody Ann Chadsey, BA SSW

• Ambulatory Surgical Clinic/Center in Provo, UT
• Providers in Provo, 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.