Organization · Type 2 NPI
Idaho Surgicenter North LLC
Ambulatory Surgical Clinic/Center · Idaho Falls, ID
NPI number
1194735522
Active
Practice location
3369 Merlin Dr
Idaho Falls, ID 83404-7405
Fax (208) 529-2252
Mailing address
PO Box 1386
Idaho Falls, ID 83403-1386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | P 186 (ID) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1194735522
Idaho Surgicenter North LLC's National Provider Identifier is 1194735522, issued on Aug 8, 2006. 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 Aug 22, 2020.