# SURGERY CENTER AT GROVE CREEK, 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:** 1962007757
- **Authorized official:** MR. BRIAN SHELTON (BOARD MEMBER)
- **Authorized official phone:** (801) 772-5050

## Contact information

- **Practice address:** 2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062-6745
- **Practice address phone:** (801) 772-5050
- **Mailing address:** 2168 W GROVE PKWY STE 101, PLEASANT GROVE, UT 84062-6745
- **Mailing address phone:** (801) 772-5050

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/01/2020