Organization Active NPI

Cottonwood Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Murray, UT
National Provider Identifier
1982915294
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COTTONWOOD SURGERY CENTER LLC
Practice address
6053 S Fashion Square Dr
Suite # 100
Murray, UT 84107-5439
Phone
(801) 262-0098
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Clark Larsen, DPMNPI 1427130335
Title
Ceo
Phone
(801) 261-1391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6053 S Fashion Square Dr
Suite # 100
Murray, UT 84107-5439

Mailing address

6053 S Fashion Square Dr
Suite # 100
Murray, UT 84107-5439
Phone (801) 262-0098

National Provider Directory

National Provider Directory

Locations

5450 S Green St
Murray, UT 84123
Phone (801) 268-2299

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1982915294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 S FASHION SQUARE DR",
            "address_2": "SUITE # 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075439",
            "telephone_number": "801-262-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 S FASHION SQUARE DR",
            "address_2": "SUITE # 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075439",
            "telephone_number": "801-262-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-261-1391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "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 Mar 3, 2011; 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.