OrganizationActive
Willow Bend Surgical Center
NPI 1043884604 · Ambulatory Surgical Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1043884604
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Wood, President(801) 450-6940
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 E 4500 S Ste 100
Salt Lake City, UT 84107-4536
Phone: (801) 450-6940
Fax: (801) 944-5910
Street-level locationGet directions
Mailing address
1809 E Indian Wells Ln
Draper, UT 84020-8301
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.