Surgicare Center Of Idaho, Llc in Boise - Ophthalmologic Surgery
Surgicare Center Of Idaho, Llc - NPI 1114923471
Surgicare Center Of Idaho, Llc is a Ophthalmologic Surgery in Boise, Idaho. Surgicare Center Of Idaho, Llc practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Surgicare Center Of Idaho, Llc is 1114923471. The last update date is 2016-10-10.
Surgicare Center Of Idaho, Llc's current location address is 360 E Mallard Dr, Boise, Idaho. You can contact this provider via phone number 2083368700 and fax number 2084260902. The mailing address for Surgicare Center Of Idaho, Llc is 360 E Mallard Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgicare Center Of Idaho, Llc |
|---|---|
| Address | 360 E Mallard Dr, Boise, Idaho |
| Phone Number | 2083368700 |
| Fax Number | 2084260902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Pennow Louis |
| Credentials | MBA |
| Telephone Number | 2083368700 |
NPI Number Detail
| NPI Number | 1114923471 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2016-10-10 |
Provider Mailing Address Detail
| Address | 360 E Mallard Dr |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 8370666440 |
| Phone Number | 2083368700 |
| Fax Number | 2084260902 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmologic Surgery |
|---|---|
| Taxonomy | 261Qs0132X |
|
Definition: Provides surgical procedures to treat eye conditions and disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273390 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Surgicare Center Of Idaho, Llc by the Centers for Medicare & Medicaid Services?
The Surgicare Center Of Idaho, Llc has been assigned the NPI (National Provider Identifier) 1114923471. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Surgicare Center Of Idaho, Llc is geographically located?
The Surgicare Center Of Idaho, Llc is physically situated at the following location: 360 E Mallard Dr, Boise, ID, 8370666440.
What is the Surgicare Center Of Idaho, Llc's area of specialization and corresponding taxonomy classification?
The Surgicare Center Of Idaho, Llc's specialty field is Ophthalmologic Surgery, and it falls under the taxonomy code 261Qs0132X, which categorizes healthcare providers based on their specialties.
On what date did Surgicare Center Of Idaho, Llc receive its 1114923471 assignment from the Centers for Medicare & Medicaid Services?
The Surgicare Center Of Idaho, Llc was assigned its 1114923471 on 2005-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Surgicare Center Of Idaho, Llc last refreshed?
The information related to the Surgicare Center Of Idaho, Llc, including its address, specialty, and other relevant details, was last updated on 2016-10-10.