# EASTERN UTAH SURGICAL CENTER

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

## Provider details

- **NPI number:** 1619048170
- **Authorized official:** JEFFREY E HANSEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (435) 637-1744

## Contact information

- **Practice address:** 200 N FAIRGROUNDS RD, SUITE 1, PRICE, UT 84501-4205
- **Practice address phone:** (435) 637-1744
- **Practice address fax:** (435) 637-1123
- **Mailing address:** 200 N FAIRGROUNDS RD, SUITE 1, PRICE, UT 84501-4205
- **Mailing address phone:** (435) 637-1744
- **Mailing address fax:** (435) 637-1123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 5249970-1704 | UT | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 06/05/2008