Addison Surgery Center

LBN: Addison Surgery Center
Addison Surgery Center is an health care organization with primary practice located at 191 Addison Ave Ste 1, Twin Falls ID 83301-5177. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Addison Surgery Center can be contacted via phone (208) 734-5993, or through Blackmer, David via phone (208) 734-5993.

Contact Information

Primary practice address
191 Addison Ave Ste 1 Twin Falls ID 83301-5177
Phone: (208) 734-5993
Fax: (208) 736-1968
Website:
Map and Directions
Authorized official contact:
Name: Blackmer, David Doctor of Podiatric Medicine (DPM)
Phone: (208) 734-5993

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1811992811
LBN Legal business name Addison Surgery Center
DBA Doing business as
Authorized official Blackmer, David Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811992811 NPPES
Idaho MEDICAID 8042431

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