Sunnyside Surgery Center, Llc in Idaho Falls - Ambulatory Surgical

Sunnyside Surgery Center, Llc - NPI 1285825075

Sunnyside Surgery Center, Llc is a Ambulatory Surgical in Idaho Falls, Idaho. Sunnyside Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Sunnyside Surgery Center, Llc is 1285825075. The last update date is 2007-08-06.

Sunnyside Surgery Center, Llc's current location address is 3345 S Holmes Ave Ste B, Idaho Falls, Idaho. You can contact this provider via phone number 2085282858 and fax number 2085288022. The mailing address for Sunnyside Surgery Center, Llc is 3345 S Holmes Ave Ste B, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sunnyside Surgery Center, Llc
Address 3345 S Holmes Ave Ste B, Idaho Falls, Idaho
Phone Number 2085282858
Fax Number 2085288022
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name James K Michael
Credentials DPM
Telephone Number 2085282858

NPI Number Detail

NPI Number 1285825075
Provider Enumeration Date 2007-08-06
Last Updated Date 2007-08-06

Provider Mailing Address Detail

Address 3345 S Holmes Ave Ste B
City Idaho Falls
State Idaho (ID)
Post Code 834047981
Phone Number 2085282858
Fax Number 2085288022

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No P140-7
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10151664 ID BLUE SHIELD
4804 ID BLUE CROSS

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FAQs about Sunnyside Surgery Center, Llc

What is the unique 10-digit identifier code assigned to Sunnyside Surgery Center, Llc by the Centers for Medicare & Medicaid Services?

The Sunnyside Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1285825075 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Sunnyside Surgery Center, Llc is physically located?

The Sunnyside Surgery Center, Llc is situated at the following address: 3345 S Holmes Ave Ste B, Idaho Falls, ID 834047981.

What is Sunnyside Surgery Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sunnyside Surgery Center, Llc is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date did Sunnyside Surgery Center, Llc receive its 1285825075 assignment from the Centers for Medicare & Medicaid Services?

The Sunnyside Surgery Center, Llc was assigned its 1285825075 on 2007-08-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Sunnyside Surgery Center, Llc most recently updated or refreshed?

The details pertaining to the Sunnyside Surgery Center, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-06.

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