Boise Surgical Group

LBN: Boise Surgical Group
Boise Surgical Group is an health care organization with primary practice located at 3399 E. Louise Dr. #400, Meridian ID 83642. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Boise Surgical Group can be contacted via phone (208) 364-3000, or through Grunzke, Kirsten via phone (208) 364-3000.

Contact Information

Primary practice address
3399 E. Louise Dr. #400 Meridian ID 83642
Phone: (208) 364-3000
Fax: (208) 364-3191
Website:
Map and Directions
Authorized official contact:
Name: Grunzke, Kirsten
Phone: (208) 364-3000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M7481 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X M8489 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X M7975 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X M8195 Idaho

Profile Details

NPI number 1871648352
LBN Legal business name Boise Surgical Group
DBA Doing business as
Authorized official Grunzke, Kirsten
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 29th, 2010 - about 16 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 1871648352 NPPES
Idaho Other CI1633 RAILROAD MEDICARE
Idaho MEDICAID 002354900 RAILROAD MEDICARE

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