Organization · Type 2 NPI
Henrys Fork Surgery Center PLLC
Ambulatory Surgical Clinic/Center · Rexburg, ID
NPI number
1235768490
Active
Practice location
23 Sawtelle Ave
Rexburg, ID 83440
Fax (208) 359-1889
Mailing address
PO Box 6
Rexburg, ID 83440-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Rexburg
About NPI 1235768490
Henrys Fork Surgery Center PLLC's National Provider Identifier is 1235768490, issued on Apr 8, 2020. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Rexburg, ID. The record was last updated on Jun 19, 2025.