Healthcare Provider Details

I. General information

NPI: 1407769789
Provider Name (Legal Business Name): TIMPVIEW ASC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 RIVER PARK DR STE 125
PROVO UT
84604-6065
US

IV. Provider business mailing address

1175 E 50 S STE 101
AMERICAN FORK UT
84003-2846
US

V. Phone/Fax

Practice location:
  • Phone: 801-437-4500
  • Fax:
Mailing address:
  • Phone: 385-365-0855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRENT ASHBY
Title or Position: MANAGER
Credential:
Phone: 719-964-7813