WILLOW BEND SURGICAL CENTER
NPI 1043884604
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT

Active since May 18, 2021
650 E 4500 S STE 100, SALT LAKE CITY, UT 84107(801) 450-6940(801) 944-5910 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow Bend Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW BEND SURGICAL CENTER (NPI 1043884604) is a healthcare organization registered as an ambulatory surgical in Salt Lake City, Utah and active in the NPI registry since May 2021. The organization lists Matthew Paul Wood, President, as its authorized official.

NPPES Registry Identity

NPI1043884604
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWILLOW BEND SURGICAL CENTER
Location Address650 E 4500 S STE 100Salt Lake City, UT 84107-4536
Mailing Address1809 E Indian Wells LnDraper, UT 84020-8301 · (801) 450-6940 · Fax (801) 944-5910
Fax(801) 944-5910
Organization SubpartNo
Authorized OfficialMatthew Paul WoodPresident · (801) 450-6940
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
NPI 1043884604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
650 E 4500 S STE 100, Salt Lake City, UT 84107

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Physician Assistant
650 E 4500 S STE 100
MURRAY, UT 84107
Clinic/Center (Ambulatory Surgical)
650 E 4500 S STE 100
SALT LAKE CITY, UT 84107
Nurse Anesthetist, Certified Registered
650 E 4500 S STE 100
MURRAY, UT 84107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Bend Surgical Center's NPI number?

The NPI number for Willow Bend Surgical Center is 1043884604. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is Willow Bend Surgical Center located?

Willow Bend Surgical Center is located at 650 E 4500 S Ste 100, Salt Lake City, UT 84107. The listed phone number is (801) 450-6940.

What is Willow Bend Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Willow Bend Surgical Center was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.