OrganizationActive
South Town Surgery Group, LLC
NPI 1992182216 · Health Maintenance Organization · Sandy, UT
Provider details
- NPI number
- 1992182216
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Carolina Dela Pava, Administrator(501) 404-7246
Specialties & taxonomies
Managed Care Organizations
Practice location
10011 S Centennial Pkwy
Sandy, UT 84070-4156
Phone: (501) 404-7246
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1944
Sandy, UT 84091-1944
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2015-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.