Southern Idaho Surgery Center Pllc

LBN: Southern Idaho Surgery Center Pllc
Southern Idaho Surgery Center Pllc is an health care organization with primary practice located at 3235 N Towerbridge Way Ste 100 , Meridian ID 83646-5721. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Southern Idaho Surgery Center Pllc can be contacted via phone (208) 895-6611, or through Michel, Marlon B via phone (208) 895-6611.

Contact Information

Primary practice address
3235 N Towerbridge Way Ste 100 Meridian ID 83646-5721
Phone: (208) 895-6611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Michel, Marlon B Doctor of Medicine (MD)
Phone: (208) 895-6611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1396069902
LBN Legal business name Southern Idaho Surgery Center Pllc
DBA Doing business as
Authorized official Michel, Marlon B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2010
Last updated Jul 9th, 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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