# SWEETWATER SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1336144617
- **Authorized official:** PETER JENSEN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (307) 382-6873

## Contact information

- **Practice address:** 2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
- **Practice address phone:** (307) 382-6873
- **Practice address fax:** (307) 382-6869
- **Mailing address:** 2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
- **Mailing address phone:** (307) 382-6873
- **Mailing address fax:** (307) 382-6869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 05-124 | WY | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 11/02/2007