# MOUNTAINWEST SURGICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124079843
- **Authorized official:** MR. BRIAN BERG (ADMINISTRATOR)
- **Authorized official phone:** (801) 383-1111

## Contact information

- **Practice address:** 1551 S RENAISSANCE TOWNE DR, SUITE 200, BOUNTIFUL, UT 84010-7667
- **Practice address phone:** (801) 383-1111
- **Practice address fax:** (801) 383-1115
- **Mailing address:** 1551 RENAISSANCE TOWNE DR STE 200, BOUNTIFUL, UT 84010-7668
- **Mailing address phone:** (801) 383-1111
- **Mailing address fax:** (801) 383-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2006-31532 | UT | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 10/28/2009