institution
Idaho Surgicenter Inc
Durable Medical Equipment & Medical Supplies in Pocatello, Idaho
NPI 1992759930

Idaho Surgicenter Inc is a Durable Medical Equipment & Medical Supplies based in Pocatello, ID. Idaho Surgicenter Inc practices in Pocatello, ID. The NPI Number for Idaho Surgicenter Inc is 1992759930 and holds a License No. P166 (Idaho).

The current practice location address for Idaho Surgicenter Inc is 1157 Call Place, Pocatello, ID and can be reached out via phone at 208-238-6337 and via fax at 208-776-5510. You can also correspond with Idaho Surgicenter Inc through the mailing address at PO BOX 2067, POCATELLO, ID - 83206-2067 (mailing address contact number: 208-238-6337).

Location: 1157 Call Place, Pocatello, ID, 83206-2067
institution
Provider Profile Details
NPI Number
1992759930
Provider Name
Idaho Surgicenter Inc
Credential
Provider Entity Type
Organization
Address
1157 Call Place, Pocatello, ID, 83206-2067
Phone Number
208-238-6337
Fax Number
208-776-5510
Provider Enumeration Date
05/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010027108 01 ID BLUE SHIELD
805730900 05 ID
P00091636 01 ID RAILROAD MEDICARE
03913 01 ID BLUE CROSS
807288200 05 ID
institution
Provider Business Practice Location Address Details
Address
1157 Call Place
City
State
Zip
83201
Phone Number
208-238-6337
Fax Number
208-776-5510
person
Provider Business Mailing Address Details
Address
1157 Call Place
City
State
Zip
83201
Phone Number
208-238-6337
Fax Number
208-776-5510
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
P153 (Idaho)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
P92 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
P166 (Idaho)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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