ST. GEORGE SURGERY CENTER, LLC
NPI 1104401561
Clinic/Center - Ambulatory Surgical in St George, UT
NPI Status: Active since March 16, 2021
Contact Information
652 S MEDICAL CENTER DR STE 200
ST GEORGE, UT
ZIP 84790
Phone: (435) 272-4523
Fax: (435) 359-5020
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 46D2260921
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-23-2028
About ST. GEORGE SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for St. George Surgery Center, Llc, a provider established in St George, Utah operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104401561 assigned on March 2021. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mitchell Cloward (Administrator)
- NPI
- 1104401561
- Provider Name
- ST. GEORGE SURGERY CENTER, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 652 S MEDICAL CENTER DR STE 200 ST GEORGE, UT 84790
- Location Phone
- (435) 272-4523
- Location Fax
- (435) 359-5020
- Mailing Address
- 652 S MEDICAL CENTER DR STE 200 ST GEORGE, UT 84790
- Mailing Phone
- (435) 272-4523
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2021
- Last Update Date
- 11-25-2025
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Value Silver 3000 Medical Deductible - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from small joint
Crushing of stone of ureter with insertion of stent using an endoscope
Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones
Imaging guidance for procedure, 60 minutes or less
Imaging of urinary tract following injection of a contrast agent
Incision of tendon covering of finger
Injection, bupivacaine liposome, 1 mg
Insertion of stent in ureter using an endoscope
Partial removal of collar bone at shoulder using an endoscope
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Prosthetic repair of shoulder joint, total shoulder
Release of tendon connecting biceps muscle and shoulder using an endoscope
Release of wrist ligament using an endoscope
Removal of bone joints between wrist and fingers
Removal of connective tissue of palm and release of finger, first digit
Removal of deep implant from bone
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
Repair of shoulder rotator cuff using an endoscope
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Transfer of tendon to back of hand
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
This service was performed 17 times for 13 patientsThis procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
This service was performed 31 times for 28 patientsThis procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.
This service was performed 20 times for 19 patientsImaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
This service was performed 15 times for 15 patientsThis procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
This service was performed 29 times for 25 patientsThis procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
This service was performed 35 times for 25 patientsBupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
This service was performed 19,589 times for 147 patientsThis procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
This service was performed 19 times for 18 patientsThis procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
This service was performed 16 times for 16 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 17 times for 17 patientsTotal shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
This service was performed 20 times for 19 patientsThis procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
This service was performed 18 times for 18 patientsThis procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
This service was performed 87 times for 72 patientsThis procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.
This service was performed 39 times for 37 patientsThis procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.
This service was performed 13 times for 12 patientsThis procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.
This service was performed 15 times for 15 patientsThis procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.
This service was performed 12 times for 12 patientsThis procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
This service was performed 39 times for 38 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 64 times for 61 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 20 times for 19 patientsA transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.
This service was performed 29 times for 27 patientsCLIA 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
- 46D2260921
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 24, 2026
- Certificate Expiration Date
- May 23, 2028
- Laboratory Director
- JORDON J. ASH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. George Surgery Center, Llc 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 1104401561, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104401561, enumerated as an "organization" on March 16, 2021.
The provider is located at 652 S MEDICAL CENTER DR STE 200 ST GEORGE, UT 84790 and the phone number is (435) 272-4523.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Molina Healthcare, Select Health and University of. Please consult your insurance carrier or call the provider to verify.