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

NPI Status: Active since October 06, 2022

Contact Information

624 S 1000 E STE 105
ST GEORGE, UT
ZIP 84790
Phone: (435) 274-7450
Fax: (435) 274-7455

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 46D2283043
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-30-2027

About RED ROCKS SURGICAL CENTER PC

This page provides the complete NPI Profile along with additional information for Red Rocks Surgical Center Pc, 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 1457076903 assigned on October 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Whitney Pavick (Sr. Operations Manager)

NPI
1457076903
Provider Name
RED ROCKS SURGICAL CENTER PC
Entity Type
Organization
Location Address
624 S 1000 E STE 105 ST GEORGE, UT 84790
Location Phone
(435) 274-7450
Location Fax
(435) 274-7455
Mailing Address
624 S 1000 E STE 105 ST GEORGE, UT 84790
Mailing Phone
(435) 274-7450
Mailing Fax
(435) 274-7455
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2022
Last Update Date
04-02-2024
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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:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WHITNEY PAVICK

Authorized Official Title
SR. OPERATIONS MANAGER
Authorized Official Phone
(435) 274-7450

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
46D2283043
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 31, 2025
Certificate Expiration Date
May 30, 2027
Laboratory Director
DAYNE R. JENSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Red Rocks Surgical Center Pc 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 1457076903, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 0 + 7 + 1 + 2 + 9 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1457076903.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457076903, enumerated as an "organization" on October 06, 2022.

The provider is located at 624 S 1000 E STE 105 ST GEORGE, UT 84790 and the phone number is (435) 274-7450.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.