Idaho Surgicenter Inc in Pocatello - Ambulatory Surgical

Idaho Surgicenter Inc - NPI 1992759930

Idaho Surgicenter Inc is a Ambulatory Surgical in Pocatello, Idaho. Idaho Surgicenter Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Idaho Surgicenter Inc is 1992759930. The last update date is 2022-01-31.

Idaho Surgicenter Inc's current location address is Po Box 2067, Pocatello, Idaho. You can contact this provider via phone number 2082386337 and fax number 2087765510. The mailing address for Idaho Surgicenter Inc is Po Box 2067, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Idaho Surgicenter Inc
Address Po Box 2067, Pocatello, Idaho
Phone Number 2082386337
Fax Number 2087765510
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Barnard Sean
Telephone Number 2088526242

NPI Number Detail

NPI Number 1992759930
Provider Enumeration Date 2006-05-22
Last Updated Date 2022-01-31

Provider Mailing Address Detail

Address Po Box 2067
City Pocatello
State Idaho (ID)
Post Code 832062067
Phone Number 2082386337
Fax Number 2087765510

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Definition:
Provides outpatient surgical services not requiring hospitalization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10027108 ID BLUE SHIELD
805730900 ID --
P00091636 ID RAILROAD MEDICARE
3913 ID BLUE CROSS
807288200 ID --

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FAQs about Idaho Surgicenter Inc

What is the unique 10-digit identifier code issued to Idaho Surgicenter Inc by the Centers for Medicare & Medicaid Services?

The Idaho Surgicenter Inc has been assigned the NPI (National Provider Identifier) 1992759930 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Idaho Surgicenter Inc located?

The Idaho Surgicenter Inc is located at Po Box 2067, Pocatello, ID 832062067.

What is the area of specialization for Idaho Surgicenter Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Idaho Surgicenter Inc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.

On what date did the Idaho Surgicenter Inc receive its 1992759930 assignment from the Centers for Medicare & Medicaid Services?

The Idaho Surgicenter Inc was assigned its 1992759930 by the Centers for Medicare & Medicaid Services on 2006-05-22.

When was the information pertaining to Idaho Surgicenter Inc most recently updated or revised?

The details related to Idaho Surgicenter Inc, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-31.

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