Parkway Surgery Center Llc

LBN: Parkway Surgery Center Llc
Parkway Surgery Center Llc is an health care organization with primary practice located at 1485 Parkway Dr , Blackfoot ID 83221-1667. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Parkway Surgery Center Llc can be contacted via phone (208) 785-5100, or through Lee, Robert J via phone (208) 785-5100.

Contact Information

Primary practice address
1485 Parkway Dr Blackfoot ID 83221-1667
Phone: (208) 785-5100
Fax: (208) 785-5112
Website:
Map and Directions
Authorized official contact:
Name: Lee, Robert J Doctor of Medicine (MD)
Phone: (208) 785-5100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X NO LICENSE REQUIRED Idaho

Profile Details

NPI number 1013278993
LBN Legal business name Parkway Surgery Center Llc
DBA Doing business as
Authorized official Lee, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 13 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 1013278993 NPPES
Idaho MEDICAID 1275645574

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