Meadow Lake Surgery Center Inc in Meridian - Ambulatory Surgical
Meadow Lake Surgery Center Inc - NPI 1740479476
Meadow Lake Surgery Center Inc is a Ambulatory Surgical in Meridian, Idaho. Meadow Lake Surgery Center Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Meadow Lake Surgery Center Inc is 1740479476. The last update date is 2013-09-16.
Meadow Lake Surgery Center Inc's current location address is 3630 E Louise Dr, Meridian, Idaho. You can contact this provider via phone number 2083779515 and fax number 2083779517. The mailing address for Meadow Lake Surgery Center Inc is 3630 E Louise Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Meadow Lake Surgery Center Inc |
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Address | 3630 E Louise Dr, Meridian, Idaho |
Phone Number | 2083779515 |
Fax Number | 2083779517 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | M.D. |
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Authorized Official Name | Wigod D Mark |
Credentials | M.D. |
Telephone Number | 2083779515 |
NPI Number Detail
NPI Number | 1740479476 |
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Provider Enumeration Date | 2007-10-18 |
Last Updated Date | 2013-09-16 |
Provider Mailing Address Detail
Address | 3630 E Louise Dr |
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City | Meridian |
State | Idaho (ID) |
Post Code | 836427975 |
Phone Number | 2083779515 |
Fax Number | 2083779517 |
Provider's Primary Taxonomy Detail
Speciality | Ambulatory Surgical |
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Taxonomy | 261Qa1903X |
Licence No | M8189 |
Definition: Provides outpatient surgical services not requiring hospitalization. |
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What is the unique identification code assigned to Meadow Lake Surgery Center Inc by the Centers for Medicare & Medicaid Services?
The Meadow Lake Surgery Center Inc has been issued the NPI (National Provider Identifier) 1740479476. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Meadow Lake Surgery Center Inc is located?
The Meadow Lake Surgery Center Inc is situated at the following address: 3630 E Louise Dr, Meridian, ID, 836427975.
What is Meadow Lake Surgery Center Inc's area of expertise and its corresponding taxonomy classification?
The Meadow Lake Surgery Center Inc's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
When did the Meadow Lake Surgery Center Inc receive its 1740479476?
The Meadow Lake Surgery Center Inc was issued its 1740479476 on 2007-10-18, which is the date when the organization was assigned this unique identifier.
When was the information related to Meadow Lake Surgery Center Inc most recently updated or refreshed?
The details pertaining to the Meadow Lake Surgery Center Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-16.