FORM SURGERY CENTER LLC
NPI 1457863912
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT
NPI Status: Active since October 24, 2017
Contact Information
6322 S 3000 E STE 170
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 513-3223
- Organization
- Clinic/Center
- Ambulatory Surgical
About FORM SURGERY CENTER LLC
This page provides the complete NPI Profile along with additional information for Form Surgery Center Llc, a provider established in Salt Lake City, Utah operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1457863912 assigned on October 2017. The practitioner's primary taxonomy code is 261QA1903X with license number 4972C (UT). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Janie Ward (Owner)
- NPI
- 1457863912
- Provider Name
- FORM SURGERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 6322 S 3000 E STE 170 SALT LAKE CITY, UT 84121
- Location Phone
- (801) 513-3223
- Mailing Address
- 6322 S 3000 E STE 170 SALT LAKE CITY, UT 84121
- Mailing Phone
- (801) 513-3223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2017
- Last Update Date
- 04-05-2021
- 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
- License No.
- 4972C
- License State
- UT
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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 1457863912, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SALT LAKE CITY, UT 84121
SALT LAKE CITY, UT 84121
SALT LAKE CITY, UT 84121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457863912, enumerated as an "organization" on October 24, 2017.
The provider is located at 6322 S 3000 E STE 170 SALT LAKE CITY, UT 84121 and the phone number is (801) 513-3223.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
