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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALTA SURGERY CENTER
NPI 1487568382
Clinic/Center - Ambulatory Surgical in Salt Lake City, UT

Active since September 29, 2026
6322 S 3000 E STE 170, SALT LAKE CITY, UT 84121(801) 513-3223 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Alta Surgery Center NPPES

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

ALTA SURGERY CENTER (NPI 1487568382) is a healthcare organization registered as an ambulatory surgical in Salt Lake City, Utah and active in the NPI registry since September 2026. The organization lists Jeremy Poulsen, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1487568382
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALTA SURGERY CENTER
Location Address6322 S 3000 E STE 170Salt Lake City, UT 84121-7290
Mailing Address6322 S 3000 E Ste 170Salt Lake City, UT 84121-7290 · (801) 513-3223
Phone(801) 513-3223
Organization SubpartNo
Authorized OfficialJeremy PoulsenManaging Member · (559) 313-6472
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1487568382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6322 S 3000 E STE 170, Salt Lake City, UT 84121
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Other Providers at the Same Location NPPES 6

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

VITA LUXE, LLC
Clinic/Center (Medical Specialty)
6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121
Salt Lake County (801) 513-3223
DR. BETHANY R POWERS M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121
Salt Lake County (801) 513-3223
VITA LUXE, LLC
Otolaryngology (Facial Plastic Surgery)
6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121
Salt Lake County (801) 513-3223
FOREVER YOUNG MEDICAL SERVICES PC
Nurse Anesthetist, Certified Registered
6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121
Salt Lake County (801) 513-3223
FORM SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121
Salt Lake County (801) 513-3223
DR. PRESTON DANIEL WARD MD
Otolaryngology (Facial Plastic Surgery)
6322 S 3000 E STE 170
SALT LAKE CITY, UT 84121
Salt Lake County (801) 739-3395

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 Alta Surgery Center's NPI number?

The NPI number for Alta Surgery Center is 1487568382. It was assigned to this organization in the NPPES registry on September 29, 2026.

Where is Alta Surgery Center located?

Alta Surgery Center is located at 6322 S 3000 E Ste 170, Salt Lake City, UT 84121. The listed phone number is (801) 513-3223.

What is Alta Surgery Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Alta Surgery Center was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.