Idaho Surgicenter South
LBN: Idaho Surgicenter Inc
Idaho Surgicenter South is an health care organization with primary practice located at 1157 Call Place , Pocatello ID 83201. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Ambulatory Health Care Facilities / Ambulatory Surgical, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Idaho Surgicenter Inc can be contacted via phone (208) 238-6337, or through Barnard, Sean via phone (208) 852-6242.
Contact Information
Primary practice address
1157 Call Place
Pocatello ID 83201
Phone: (208) 238-6337
Fax: (208) 776-5510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | P166 | Idaho |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | P92 | Idaho |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | P153 | Idaho |
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1992759930 |
|---|---|
| LBN Legal business name | Idaho Surgicenter Inc |
| DBA Doing business as | Idaho Surgicenter South |
| Authorized official | Barnard, Sean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jan 31st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992759930 | NPPES |
| Idaho | Other | 000010027108 | BLUE SHIELD |
| Idaho | MEDICAID | 805730900 | BLUE SHIELD |
| Idaho | Other | P00091636 | BLUE SHIELD |
| Idaho | Other | 03913 | BLUE SHIELD |
| Idaho | MEDICAID | 807288200 | BLUE SHIELD |
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