| NPI | 1154304749 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-11-28 |
| Last Updated | 2020-08-22 |
| Authorized Official | John Lowe General Partner Phone: 8014755400 |
| Mailing Address | 6028 S Ridgeline Dr, Suite 100 South Ogden, UT 84405-6914 United States Phone: (801) 475-4988 | Fax: (801) 475-4948 📍 View Map |
| Primary Practice Address | 6028 S Ridgeline Dr, Suite 100 South Ogden, UT 84405-6914 United States Phone: (801) 475-4988 | Fax: (801) 475-4948 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WY | 118042800 | — |
| Other (non-Medicare) | — | 49004666 | Railroad Medicare |
| MEDICAID | ID | 807285600 | — |
| MEDICAID | UT | 876047546005 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QA1903X – Clinic/Center, Ambulatory Surgical | UT | 2004-ASF-9993 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1154304749
Ridgeline Endoscopy Center L.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1154304749. The primary specialty listed is Clinic/Center, Ambulatory Surgical. The organization is located in South Ogden, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154304749?
NPI 1154304749 belongs to Ridgeline Endoscopy Center L.c., a Clinic/Center, Ambulatory Surgical in South Ogden, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154304749 active?
The current status of NPI 1154304749 in the NPPES registry is Active. The record was last updated on 2020-08-22.
What specialty is NPI 1154304749?
NPI 1154304749 is classified under the taxonomy Clinic/Center, Ambulatory Surgical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154304749?
You can verify NPI 1154304749 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154304749?
The primary practice address on file for NPI 1154304749 is 6028 S Ridgeline Dr, South Ogden, UT 84405-6914. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154304749 issued?
NPI 1154304749 was first issued (enumerated) on 2005-11-28. The NPPES record was last updated on 2020-08-22.
Practice Location Map
Ridgeline Endoscopy Center L.c. is located at 6028 S Ridgeline Dr, South Ogden, UT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ridgeline Endoscopy Center L.c.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1154304749. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Ambulatory Surgical | 2004-ASF-9993 | UT |