Organization · Type 2 NPI
Northern Lakes Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Hayden, ID
NPI number
1861271629
Active
Practice location
8552 N Government Way
Hayden, ID 83835-9280
Fax (208) 773-1473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
6 other providers at this address
- Adam J Olscamp MD PCDurable Medical Equipment & Medical Supplies Hayden, ID NPI 1396514931
- Hayden Lake Anesthesia PLLCCertified Registered Nurse Anesthetist Hayden, ID NPI 1134926181
- Northern Lakes Surgery Center, LLCAnesthesiology Physician Hayden, ID NPI 1053140822
- Brian CarrollCertified Registered Nurse Anesthetist Hayden, ID NPI 1417449810
- Dana Marie Wilson, CSFASurgical Assistant Hayden, ID NPI 1487569109
- Scout Moon-Shun Cai, DPTPhysical Therapist Hayden, ID NPI 1285442442
About NPI 1861271629
Northern Lakes Surgery Center, LLC's National Provider Identifier is 1861271629, issued on Sep 21, 2023. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Hayden, ID. The record was last updated on Jul 5, 2024.