SOUTH TOWN SURGERY GROUP, LLC
NPI 1992182216
Health Maintenance Organization in Sandy, UT

Active since May 06, 2015
10011 S CENTENNIAL PKWY, SANDY, UT 84070(501) 404-7246 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Health Maintenance Organization

About SOUTH TOWN SURGERY GROUP, LLC

This page provides the complete NPI Profile along with additional information for South Town Surgery Group, Llc, a provider established in Sandy, Utah operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1992182216 assigned on May 2015. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Carolina Dela Pava (Administrator)

NPI
1992182216 Verify this NPI
Provider Name
SOUTH TOWN SURGERY GROUP, LLC
Entity Type
Organization
Location Address
10011 S CENTENNIAL PKWY SANDY, UT 84070
Location Phone
(501) 404-7246
Mailing Address
PO BOX 1944 SANDY, UT 84091
Mailing Phone
(501) 404-7246
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2015
Last Update Date
05-06-2015
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

CAROLINA DELA PAVA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(501) 404-7246

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
10011 S CENTENNIAL PKWY, STE 500
SANDY, UT 84070
Physical Medicine & Rehabilitation
10011 S CENTENNIAL PKWY, STE 500
SANDY, UT 84070
Anesthesiology
10011 S CENTENNIAL PKWY, SUITE 220
SANDY, UT 84070
Dentist (General Practice)
10011 S CENTENNIAL PKWY, SUITE 525
SANDY, UT 84070
Nurse Practitioner (Family)
10011 S CENTENNIAL PKWY, STE 350
SANDY, UT 84070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992182216, enumerated as an "organization" on May 06, 2015.

The provider is located at 10011 S CENTENNIAL PKWY SANDY, UT 84070 and the phone number is (501) 404-7246.

Health Maintenance Organization with taxonomy code 302R00000X.