Ambulatory Surgery Center Of Burley, Llc in Burley - Nurse Anesthetist, Certified Registered
Ambulatory Surgery Center Of Burley, Llc - NPI 1992706840
Ambulatory Surgery Center Of Burley, Llc is a Nurse Anesthetist, Certified Registered in Burley, Idaho. Ambulatory Surgery Center Of Burley, Llc practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Ambulatory Surgery Center Of Burley, Llc is 1992706840. The last update date is 2017-08-17.
Ambulatory Surgery Center Of Burley, Llc's current location address is 1344 Hiland Ave, Burley, Idaho. You can contact this provider via phone number 2086778888 and fax number 2086755833. The mailing address for Ambulatory Surgery Center Of Burley, Llc is 1344 Hiland Ave, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ambulatory Surgery Center Of Burley, Llc |
|---|---|
| Address | 1344 Hiland Ave, Burley, Idaho |
| Phone Number | 2086778888 |
| Fax Number | 2086755833 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Petersen R. Joseph |
| Credentials | M.D. |
| Telephone Number | 2086778888 |
NPI Number Detail
| NPI Number | 1992706840 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2017-08-17 |
Provider Mailing Address Detail
| Address | 1344 Hiland Ave |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 833181564 |
| Phone Number | 2086778888 |
| Fax Number | 2086755833 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805534000 | ID | -- | |
| 24973 000010005 | ID | BLUE SHIELD | |
| 3822 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ambulatory Surgery Center Of Burley, Llc by the Centers for Medicare & Medicaid Services?
The Ambulatory Surgery Center Of Burley, Llc has been issued the NPI (National Provider Identifier) 1992706840 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ambulatory Surgery Center Of Burley, Llc is geographically located?
The Ambulatory Surgery Center Of Burley, Llc is physically situated at the following location: 1344 Hiland Ave, Burley, ID, 833181564.
What is the Ambulatory Surgery Center Of Burley, Llc's specialty and taxonomy code?
The Ambulatory Surgery Center Of Burley, Llc's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Ambulatory Surgery Center Of Burley, Llc receive the assignment of its 1992706840 from the Centers for Medicare & Medicaid Services?
The Ambulatory Surgery Center Of Burley, Llc was issued its 1992706840 by the Centers for Medicare & Medicaid Services on 2005-08-02.
When was the information related to Ambulatory Surgery Center Of Burley, Llc most recently updated or refreshed?
The details pertaining to the Ambulatory Surgery Center Of Burley, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-08-17.