# UTAH INTERMOUNTAIN SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1891347597
- **Authorized official:** LAURA HILL (OFFICE MANAGER)
- **Authorized official phone:** (801) 816-0332

## Contact information

- **Practice address:** 8822 S REDWOOD RD STE 113, WEST JORDAN, UT 84088-9341
- **Practice address phone:** (801) 816-0332
- **Practice address fax:** (801) 816-0331
- **Mailing address:** 10376 S JORDAN GTWY, SOUTH JORDAN, UT 84095-3954
- **Mailing address phone:** (801) 816-0332
- **Mailing address fax:** (801) 816-0332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2019
- **Last updated:** 07/12/2019