Sunnyside Surgery Center, Llc

LBN: Sunnyside Surgery Center, Llc
Sunnyside Surgery Center, Llc is an health care organization with primary practice located at 3345 S Holmes Ave Ste B , Idaho Falls ID 83404-7981. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Sunnyside Surgery Center, Llc can be contacted via phone (208) 528-2858, or through James, Michael K via phone (208) 528-2858.

Contact Information

Primary practice address
3345 S Holmes Ave Ste B Idaho Falls ID 83404-7981
Phone: (208) 528-2858
Fax: (208) 528-8022
Website:
Map and Directions
Authorized official contact:
Name: James, Michael K Doctor of Podiatric Medicine (DPM)
Phone: (208) 528-2858

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X P140-7 Idaho

Profile Details

NPI number 1285825075
LBN Legal business name Sunnyside Surgery Center, Llc
DBA Doing business as
Authorized official James, Michael K Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 17 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 1285825075 NPPES
Idaho Other 00010151664 BLUE SHIELD
Idaho Other 04804 BLUE SHIELD

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