CACHE VALLEY SURGERY CENTER LLC NPI 1063037703

NPI Information

  • NPI: 1063037703
  • Provider Name: CACHE VALLEY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 46D2193849
  • Address: 630 E 1400 N STE 120
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 787-7246

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NPI Details

CACHE VALLEY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Logan, UT. CACHE VALLEY SURGERY CENTER, LLC NPI is 1063037703. The provider is registered as an organization entity type.

The provider's business location address is:

630 E 1400 N STE 120
LOGAN, UT
ZIP 84341-691
Phone: (435) 787-7246
Fax: (435) 554-7381

The provider's authorized official is Ryan Lecheminant .
The authorized official title is Administrator and has the following contact phone number (385) 203-0246.

The CLIA number assigned to this NPI record is 46D2193849 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones (HCPCS:64628)
  • Fusion of pelvic joint using imaging guidance (HCPCS:27279)

The enumeration date for this NPI number is 6/9/2020 and was last updated on 2/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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