Form Surgery Center Llc

  • 1457863912 NPI Number
  • |
  • Actived: 6 years ago
  • |
Form Surgery Center Llc is a health care provider based in Salt Lake City, UT. The NPI Number is 1457863912 and it has been active since 6 years ago. The specialty is Ambulatory Surgical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Ambulatory Surgical services, Form Surgery Center Llc is an excellent option. We are here to help you get the care you need.

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Overview of Form Surgery Center Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/24/2017
  • Last updated: 04/05/2021

Primary Scrop of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: 4972C
  • License State: UT

Provider Mailing Address

  • Address: 6322 S 3000 E Ste 170
    Salt Lake City, UT 84121
  • Phone: 801-513-3223
  • Fax:

Provider Practice Location

  • Address: 6322 S 3000 E Ste 170
    Salt Lake City, UT 84121
  • Phone: 801-513-3223
  • Fax:

Authorized Official

  • Name: Janie Ward
  • Position/Title: Owner
  • Telephone Number: 801-513-3223

Scope of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: 4972C
  • License State: UT
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Form Surgery Center Llc?
  • A: The npi number for Form Surgery Center Llc is 1457863912.
  • Q: What are Form Surgery Center Llc's specialties?
  • A: Form Surgery Center Llc's specialties are Ambulatory Surgical and different specialities.
  • Q: Where is Form Surgery Center Llc business practice location?
  • A: Form Surgery Center Llc business practice location is 6322 S 3000 E Ste 170, Salt Lake City, UT 84121.
  • Q: How to contact Form Surgery Center Llc?
  • A: You can contact Form Surgery Center Llc via 801-513-3223.
  • Q: What is the authorized official for Form Surgery Center Llc?
  • A: The authorized office name is Janie Ward with position/title is Owner and you can reach the authorized official via phone number 8015133223.
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