Madison Avenue Surgery Center Llc

LBN: Madison Avenue Surgery Center Llc
Madison Avenue Surgery Center Llc is an health care organization with primary practice located at 3760 Washington Pkwy , Idaho Falls ID 83404-7593. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Madison Avenue Surgery Center Llc can be contacted via phone (208) 881-5351, or through Freeman, Mark Edward via phone (208) 881-5351.

Contact Information

Primary practice address
3760 Washington Pkwy Idaho Falls ID 83404-7593
Phone: (208) 881-5351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Mark Edward Doctor of Medicine (MD)
Phone: (208) 881-5351

Health care specialties

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

Profile Details

NPI number 1396100491
LBN Legal business name Madison Avenue Surgery Center Llc
DBA Doing business as
Authorized official Freeman, Mark Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 11 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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