GAMMA WEST CANCER SERVICES
NPI 1053451617
Radiology - Radiation Oncology in Salt Lake City, UT
NPI Status: Active since February 06, 2007
Contact Information
1250 E 3900 S # B-10
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 456-8401
Fax: (801) 456-8408
- Organization
- Radiology
- Radiation Oncology
- Accepts Insurance
- CLIA Number: 46D2034427
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-21-2027
About GAMMA WEST CANCER SERVICES
This page provides the complete NPI Profile along with additional information for Gamma West Cancer Services, a provider established in Salt Lake City, Utah operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1053451617 assigned on February 2007. The practitioner's primary taxonomy code is 2085R0001X with license number 2054905-0160 (UT). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Gamma West Cancer Services. The authorized official of this NPI record is Robbie Rhymer (Evp Hr & Coo)
- NPI
- 1053451617
- Provider Legal Name
- GAMMAWEST BRACHYTHERAPY, LLC
- Other Organization Name
- GAMMA WEST CANCER SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1250 E 3900 S # B-10 SALT LAKE CITY, UT 84124
- Location Phone
- (801) 456-8401
- Location Fax
- (801) 456-8408
- Mailing Address
- 104 WOODMONT BLVD STE 500 NASHVILLE, TN 37205
- Mailing Phone
- (615) 783-1254
- Mailing Fax
- (801) 456-8408
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 09-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2054905-0160
- License State
- UT
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2034427
- Facility Type
- Physician Office
- Certificate Effective Date
- December 22, 2025
- Certificate Expiration Date
- December 21, 2027
- Laboratory Director
- MELINDA P. FORBUSH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gamma West Cancer Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053451617, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053451617, enumerated as an "organization" on February 06, 2007.
The provider is located at 1250 E 3900 S # B-10 SALT LAKE CITY, UT 84124 and the phone number is (801) 456-8401.
Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
