Boise Endoscopy Center, Llc in Boise - Ambulatory Surgical
Boise Endoscopy Center, Llc - NPI 1114912102
Boise Endoscopy Center, Llc is a Ambulatory Surgical in Boise, Idaho. Boise Endoscopy Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Boise Endoscopy Center, Llc is 1114912102. The last update date is 2022-12-08.
Boise Endoscopy Center, Llc's current location address is 425 W Bannock St, Boise, Idaho. You can contact this provider via phone number 2083427169 and fax number 2083680863. The mailing address for Boise Endoscopy Center, Llc is 425 W Bannock St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boise Endoscopy Center, Llc |
|---|---|
| Address | 425 W Bannock St, Boise, Idaho |
| Phone Number | 2083427169 |
| Fax Number | 2083680863 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Pahssen Rebecca |
| Telephone Number | 2084891431 |
NPI Number Detail
| NPI Number | 1114912102 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2022-12-08 |
Provider Mailing Address Detail
| Address | 425 W Bannock St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837026035 |
| Phone Number | 2083427169 |
| Fax Number | 2083680863 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 1870273 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10005291 | ID | BLUE SHIELD OF IDAHO | |
| 4580 | ID | BLUE CROSS OF IDAHO | |
| 805944300 | ID | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Boise Endoscopy Center, Llc by the Centers for Medicare & Medicaid Services?
The Boise Endoscopy Center, Llc has been issued the NPI (National Provider Identifier) 1114912102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Boise Endoscopy Center, Llc located?
The Boise Endoscopy Center, Llc is located at 425 W Bannock St, Boise, ID 837026035.
What is the Boise Endoscopy Center, Llc's area of specialization and corresponding taxonomy classification?
The Boise Endoscopy Center, Llc's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
On what date was the 1114912102 assigned to Boise Endoscopy Center, Llc?
The Boise Endoscopy Center, Llc was issued its 1114912102 on 2005-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Boise Endoscopy Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Boise Endoscopy Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-08.