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Pend Oreille Surgery Center Llc
Ambulatory Surgical Clinic/Center in Ponderay, Idaho
NPI 1821276353

Pend Oreille Surgery Center Llc is an Ambulatory Surgical Clinic/Center based in Ponderay, ID and is specialized in Ambulatory Surgical. Pend Oreille Surgery Center Llc practices in Ponderay, ID. The NPI Number for Pend Oreille Surgery Center Llc is 1821276353 and holds a License No. (Idaho).

The current practice location address for Pend Oreille Surgery Center Llc is 30544 Highway 200, Ponderay, ID and can be reached out via phone at 208-265-8194 and via fax at 208-265-4870.

Location: 30544 Highway 200, Ponderay, ID, 83852-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821276353
Provider Name
Pend Oreille Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
30544 Highway 200, Ponderay, ID, 83852-5005
Phone Number
208-265-8194
Fax Number
208-265-4870
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
808553900 05 ID
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-8194
Fax Number
208-265-4870
person
Provider Business Mailing Address Details
Address
30544 Highway 200
City
Ponderay
State
Idaho
Zip
83852-5005
Phone Number
208-265-8194
Fax Number
208-265-4870
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
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Definition
Definition to come...
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