Idaho Surgicenter North Llc

LBN: Idaho Surgicenter North Llc
Idaho Surgicenter North Llc is an health care organization with primary practice located at 3369 Merlin Dr , Idaho Falls ID 83404-7405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Idaho Surgicenter North Llc can be contacted via phone (208) 529-0009, or through Quinton, Tony D via phone (208) 529-0009.

Contact Information

Primary practice address
3369 Merlin Dr Idaho Falls ID 83404-7405
Phone: (208) 529-0009
Fax: (208) 529-2252
Website:
Map and Directions
Authorized official contact:
Name: Quinton, Tony D Doctor of Podiatric Medicine (DPM)
Phone: (208) 529-0009

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X P 186 Idaho

Profile Details

NPI number 1194735522
LBN Legal business name Idaho Surgicenter North Llc
DBA Doing business as
Authorized official Quinton, Tony D Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1194735522 NPPES
Hawaii Other 000010027109 BLUE SHIELD
Hawaii Other 04085 BLUE SHIELD

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