Organization
VINEYARD SURGERY CENTER, LLC
Active
Organization
VINEYARD SURGERY CENTER, LLC
Active
Parent organization
VINEYARD SURGERY CENTER, LLC
Other names
Vineyard Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
VINEYARD SURGERY CENTER, LLC
Authorized official
ASHLEY PFATENHAUER (CREDENTIALING/CONTRACTING MANAGER)
(435) 215-0230
Entity
Organization
Contact information
Practice address
691 E 400 N STE 100, VINEYARD, UT 84059-7509
(385) 327-0930
(385) 327-0931
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 215-0230
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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