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
Address 3630 E Louise Dr, Meridian, Idaho
Phone Number 2083779515
Fax Number 2083779517
Sole Proprietor --
Credentials --

Authorized Official

Title or Position M.D.
Authorized Official Name Wigod D Mark
Credentials M.D.
Telephone Number 2083779515

NPI Number Detail

NPI Number 1740479476
Provider Enumeration Date 2007-10-18
Last Updated Date 2013-09-16

Provider Mailing Address Detail

Address 3630 E Louise Dr
City Meridian
State Idaho (ID)
Post Code 836427975
Phone Number 2083779515
Fax Number 2083779517

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No M8189
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Meadow Lake Surgery Center Inc

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.

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