RED ROCKS SURGICAL CENTER PC
NPI 1457076903
Clinic/Center - Ambulatory Surgical in St George, UT

Active since October 06, 2022CLIA 46D2283043 · Waiver
624 S 1000 E STE 105, ST GEORGE, UT 84790(435) 274-7450(435) 274-7455 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Oct 6, 2022 (2 updates tracked since 2022).

About Red Rocks Surgical Center Pc NPPES

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

RED ROCKS SURGICAL CENTER PC (NPI 1457076903) is a healthcare organization registered as an ambulatory surgical in St George, Utah and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Whitney Pavick, Sr. Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1457076903
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRED ROCKS SURGICAL CENTER PC
Location Address624 S 1000 E STE 105St George, UT 84790-5902
Mailing Address624 S 1000 E Ste 105St George, UT 84790-5902 · (435) 274-7450 · Fax (435) 274-7455
Fax(435) 274-7455
Organization SubpartNo
Authorized OfficialWhitney PavickSr. Operations Manager · (435) 274-7450
Enumeration DateOctober 6, 2022
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1457076903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
624 S 1000 E STE 105, St George, UT 84790

Accepted 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 46D2283043

Red Rocks Surgical Center PC · St George, UT
Active · expires May 30, 2027
CLIA Number46D2283043
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorDayne R. Jensen
Laboratory Phone(435) 274-7450
Laboratory LocationRed Rocks Surgical Center PC624 S 1000 E Ste 105, 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.

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
624 S 1000 E STE 105
ST GEORGE, UT 84790

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 Red Rocks Surgical Center PC's NPI number?

The NPI number for Red Rocks Surgical Center PC is 1457076903. It was assigned to this organization in the NPPES registry on October 6, 2022.

Where is Red Rocks Surgical Center PC located?

Red Rocks Surgical Center PC is located at 624 S 1000 E Ste 105, St George, UT 84790. The listed phone number is (435) 274-7450.

What is Red Rocks Surgical Center PC's specialty?

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

Does Red Rocks Surgical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2283043) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Red Rocks Surgical Center PC accept?

Health plans from UnitedHealthcare list Red Rocks Surgical Center PC 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 Red Rocks Surgical Center PC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.