ST. GEORGE SURGERY CENTER, LLC
NPI 1104401561
Clinic/Center - Ambulatory Surgical in St George, UT

Q: What is St. George Surgery Center, LLC's NPI number?

The NPI number for St. George Surgery Center, LLC is 1104401561. It was assigned to this organization in the NPPES registry on March 16, 2021. The provider is doing business as Intermountain Health Surgery Center - St. George and Intermountain Surgery Center - St. George.

Q: What is St. George Surgery Center, LLC's specialty?

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

Active since March 16, 2021CLIA 46D2260921 · Waiver

652 S MEDICAL CENTER DR STE 200, ST GEORGE, UT 84790(435) 272-4523(435) 359-5020 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Feb 9, 2024, Jan 10, 2022 and 1 more (4 updates tracked since 2021).

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About St. George Surgery Center, Llc NPPES

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

ST. GEORGE SURGERY CENTER, LLC (NPI 1104401561), doing business as Intermountain Health Surgery Center - St. George, is a healthcare organization registered as an ambulatory surgical in St George, Utah and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Mitchell Cloward, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104401561

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameST. GEORGE SURGERY CENTER, LLC

Location Address652 S MEDICAL CENTER DR STE 200St George, UT 84790-7049

Mailing Address652 S Medical Center Dr Ste 200St George, UT 84790-7049 · (435) 272-4523

Phone(435) 272-4523

Fax(435) 359-5020

Organization SubpartNo

Authorized OfficialMitchell ClowardAdministrator · (435) 251-2106

Enumeration DateMarch 16, 2021

Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1104401561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

652 S MEDICAL CENTER DR STE 200, St George, UT 84790

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Other Names 2

Doing Business AsIntermountain Health Surgery Center - St. George

Doing Business AsIntermountain Surgery Center - St. George

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2260921

St George Surgery Center LLC · St George, UT

Active · expires May 23, 2028

CLIA Number46D2260921

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 24, 2026

Certificate Expiration DateMay 23, 2028

Laboratory DirectorJordon J. Ash

Laboratory Phone(435) 272-4523

Laboratory LocationSt George Surgery Center LLC652 South Medical Center Dr, Suite 200, St George, UT 84790

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine 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.

19,589 services147 patients

Release of wrist ligament using an endoscope 29848

This 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.

87 services72 patients

Replacement of knee joint, both sides of knee 27447

A 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.

64 services61 patients

Removal of bone joints between wrist and fingers 25447

This 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.

39 services37 patients

Repair of shoulder rotator cuff using an endoscope 29827

This 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.

39 services38 patients

Incision of tendon covering of finger 26055

This 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.

35 services25 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This 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.

31 services28 patients

Transfer of tendon to back of hand 26480

A 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.

29 services27 patients

Imaging of urinary tract following injection of a contrast agent 74420

This 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.

29 services25 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total 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.

20 services19 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This 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.

20 services19 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This 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.

20 services19 patients

Insertion of stent in ureter using an endoscope 52332

This 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.

19 services18 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This 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.

18 services18 patients

Aspiration and/or injection of fluid from small joint 20600

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.

17 services13 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This 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.

17 services17 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This 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.

16 services16 patients

Removal of deep implant from bone 20680

This 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.

15 services15 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging 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.

15 services15 patients

Removal of connective tissue of palm and release of finger, first digit 26123

This 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.

13 services12 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This 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.

12 services12 patients

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 St. George Surgery Center, LLC's NPI number?

The NPI number for St. George Surgery Center, LLC is 1104401561. It was assigned to this organization in the NPPES registry on March 16, 2021. The provider is doing business as Intermountain Health Surgery Center - St. George and Intermountain Surgery Center - St. George.

Where is St. George Surgery Center, LLC located?

St. George Surgery Center, LLC is located at 652 S Medical Center Dr Ste 200, St George, UT 84790. The listed phone number is (435) 272-4523.

What is St. George Surgery Center, LLC's specialty?

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

Does St. George Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2260921) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. George Surgery Center, LLC accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list St. George Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. George Surgery Center, LLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

About St. George Surgery Center, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 2

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 46D2260921

Areas of Expertise CMS Part B claims 21

Frequently Asked Questions NPPES & CMS

What is St. George Surgery Center, LLC's NPI number?

Where is St. George Surgery Center, LLC located?

What is St. George Surgery Center, LLC's specialty?

Does St. George Surgery Center, LLC hold a CLIA laboratory certificate?

What insurance does St. George Surgery Center, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 46D2260921