# RIVERWOODS SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1538100649
- **Authorized official:** KIMBERLI CRISP (ACCOUNT MANAGER)
- **Authorized official phone:** (801) 437-4500

## Contact information

- **Practice address:** 320 RIVER PARK DR STE 125, PROVO, UT 84604-6065
- **Practice address phone:** (801) 437-4500
- **Practice address fax:** (801) 437-1400
- **Mailing address:** 320 RIVER PARK DR STE 125, PROVO, UT 84604-6065
- **Mailing address phone:** (801) 437-4500
- **Mailing address fax:** (801) 437-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2005ASF70230 | UT | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 07/27/2023