| Organization Name: | NORTHPOINTE SURGICAL CENTER, LLC |
| NPI Number: | 1255676920 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES MARK HALL (MANAGING MEMBER) |
| Mailing Address: | 2326 N 400 E Suite 100 Tooele |
| State: | UT US |
| Postal Code: | 840743409 |
| Phone Number: | 4358430180 |
| Fax Number: | 4358430181 |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |