Grange Surgery Center Pllc

LBN: Grange Surgery Center Pllc
Grange Surgery Center Pllc is an health care organization with primary practice located at 450 W State St Ste 250 , Eagle ID 83616-6974. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Grange Surgery Center Pllc can be contacted via phone (208) 506-7966, or through Grange, Landon via phone (208) 506-7966.

Contact Information

Primary practice address
450 W State St Ste 250 Eagle ID 83616-6974
Phone: (208) 506-7966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grange, Landon Doctor of Medicine (MD)
Phone: (208) 506-7966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X

Profile Details

NPI number 1316663032
LBN Legal business name Grange Surgery Center Pllc
DBA Doing business as
Authorized official Grange, Landon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2022
Last updated Aug 22nd, 2023 - about 3 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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