institution
Idaho Falls Surcigal Center
Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho
NPI 1053481218

Idaho Falls Surcigal Center is an Ambulatory Surgical Clinic/Center based in Idaho Falls, ID and is specialized in Ambulatory Surgical. Idaho Falls Surcigal Center practices in Idaho Falls, ID. The NPI Number for Idaho Falls Surcigal Center is 1053481218 and holds a License No. 13-C0001000 (Idaho).

The current practice location address for Idaho Falls Surcigal Center is 1945 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-529-1945 and via fax at 208-529-1961. You can also correspond with Idaho Falls Surcigal Center through the mailing address at PO BOX 52180, IDAHO FALLS, ID - 83405-2180 (mailing address contact number: 208-523-4906).

Location: 1945 E 17Th St, Idaho Falls, ID, 83405-2180
institution
Provider Profile Details
NPI Number
1053481218
Provider Name
Idaho Falls Surcigal Center
Credential
Provider Entity Type
Organization
Address
1945 E 17Th St, Idaho Falls, ID, 83405-2180
Phone Number
208-529-1945
Fax Number
208-529-1961
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490000095 01 RAILROAD MEDICARE
002512900 05 ID
institution
Provider Business Practice Location Address Details
Address
1945 E 17Th St
City
State
Zip
83404-6429
Phone Number
208-529-1945
Fax Number
208-529-1961
person
Provider Business Mailing Address Details
Address
1945 E 17Th St
City
State
Zip
83404-6429
Phone Number
208-529-1945
Fax Number
208-529-1961
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
13-C0001000 (Idaho)
Definition
Definition to come...
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