institution
Idaho Surgicenter North Llc
Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho
NPI 1194735522

Idaho Surgicenter North Llc is an Ambulatory Surgical Clinic/Center based in Idaho Falls, ID and is specialized in Ambulatory Surgical. Idaho Surgicenter North Llc practices in Idaho Falls, ID. The NPI Number for Idaho Surgicenter North Llc is 1194735522 and holds a License No. P 186 (Idaho).

The current practice location address for Idaho Surgicenter North Llc is 3369 Merlin Dr, Idaho Falls, ID and can be reached out via phone at 208-529-0009 and via fax at 208-529-2252. You can also correspond with Idaho Surgicenter North Llc through the mailing address at PO BOX 1386, IDAHO FALLS, ID - 83403-1386 (mailing address contact number: 208-529-0009).

Location: 3369 Merlin Dr, Idaho Falls, ID, 83403-1386
institution
Provider Profile Details
NPI Number
1194735522
Provider Name
Idaho Surgicenter North Llc
Credential
Provider Entity Type
Organization
Address
3369 Merlin Dr, Idaho Falls, ID, 83403-1386
Phone Number
208-529-0009
Fax Number
208-529-2252
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000010027109 01 HI BLUE SHIELD
04085 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3369 Merlin Dr
City
State
Zip
83404-7405
Phone Number
208-529-0009
Fax Number
208-529-2252
person
Provider Business Mailing Address Details
Address
3369 Merlin Dr
City
State
Zip
83404-7405
Phone Number
208-529-0009
Fax Number
208-529-2252
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
P 186 (Idaho)
Definition
Definition to come...
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