Organization · Type 2 NPI

Boise Endoscopy Center, LLC

Ambulatory Surgical Clinic/Center · Nampa, ID

NPI number 1689332959 Active

Practice location

1216 Garrity Blvd
Nampa, ID 83687-3402

Call (208) 954-8218 Map

Fax (208) 368-0863

Mailing address

2235 E Gala St
Meridian, ID 83642-8026

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

2 other providers at this address

Bonnie Kim Waite, MD, CHARTEREDGastroenterology Physician Nampa, ID NPI 1770578759
Kirsten J. Morigeau, MDGastroenterology Physician Nampa, ID NPI 1811123961

Other ambulatory surgical clinic/center providers in Nampa

See all in Nampa →

NPI record

NPI: 1689332959
Entity type: Organization (Type 2)
Issued: Dec 3, 2021
Last updated: Jun 29, 2023
Status: Active
Subpart: Yes of Boise Endoscopy Center, LLC

Other names

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Canyon County Endoscopy Center · doing business as
Canyon County Endoscopy Center · doing business as

Authorized official

Rebecca Butterfield
Credentialing Manager
(208) 489-1431

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689332959

Boise Endoscopy Center, LLC's National Provider Identifier is 1689332959, issued on Dec 3, 2021. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Nampa, ID. The record was last updated on Jun 29, 2023.