Organization · Type 2 NPI
Idaho Falls Asc
Ambulatory Surgical Clinic/Center · Idaho Falls, ID
NPI number
1174005235
Active
Practice location
3302 Valencia Drive, Suite 101A
Idaho Falls, ID 83404
Fax (208) 542-4280
Mailing address
3302 Valencia Dr Ste 101A
Idaho Falls, ID 83404-7068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1174005235
Idaho Falls Asc's National Provider Identifier is 1174005235, issued on Sep 5, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 23, 2023.