institution
Northpointe Surgical Center, Llc
Ambulatory Surgical Clinic/Center in Tooele, Utah
NPI 1255676920

Northpointe Surgical Center, Llc is an Ambulatory Surgical Clinic/Center based in Tooele, UT and is specialized in Ambulatory Surgical. Northpointe Surgical Center, Llc practices in Tooele, UT. The NPI Number for Northpointe Surgical Center, Llc is 1255676920 and holds a License No. (Utah).

The current practice location address for Northpointe Surgical Center, Llc is 2326 N 400 E Ste 100, Tooele, UT and can be reached out via phone at 435-843-0180 and via fax at 435-843-0181.

Location: 2326 N 400 E Ste 100, Tooele, UT, 84074-3460
institution
Provider Profile Details
NPI Number
1255676920
Provider Name
Northpointe Surgical Center, Llc
Credential
Provider Entity Type
Organization
Address
2326 N 400 E Ste 100, Tooele, UT, 84074-3460
Phone Number
435-843-0180
Fax Number
435-843-0181
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6806D882440 01 UT GENERAL LIABILITY
46C0001058 01 UT MEDICARE CERTIFICATION NUMBER
U000086465 01 UT NORIDIAN PTAN NUMBER
2014-ASF-UT000647 01 UT PROFESSIONAL LICENSE
103541 01 UT AAAHC - ACCREDITATION
8929365-17014 01 UT PROFESSIONAL LICENSE PHARMACY CLASS B
6194 01 UT BUSINESS LICENSE - TOOELE
4310 01 UT X-RAY LICENSE NUMBER
46D2067524 01 UT CLIA
8929365-8913 01 UT PROFESSIONAL LICENSE CONTROLLED SUBSTANCE LICENSE
UT900010 01 UT MEDICAL MALPRACTICE
institution
Provider Business Practice Location Address Details
Address
2326 N 400 E Ste 100
City
State
Zip
84074-3460
Phone Number
435-843-0180
Fax Number
435-843-0181
person
Provider Business Mailing Address Details
Address
2326 N 400 E Ste 100
City
State
Zip
84074-3460
Phone Number
435-843-0180
Fax Number
435-843-0181
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
(Utah)
Definition
Definition to come...
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