Mckim Surgery Center, Inc

LBN: Mckim Surgery Center, Inc
Mckim Surgery Center, Inc is an health care organization with primary practice located at 900 N Liberty St Ste 300 , Boise ID 83704-8729. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mckim Surgery Center, Inc can be contacted via phone (208) 367-6901, or through Mckim, Thomas D via phone (208) 367-6901.

Contact Information

Primary practice address
900 N Liberty St Ste 300 Boise ID 83704-8729
Phone: (208) 367-6901
Fax: (208) 367-6904
Website:
Map and Directions
Authorized official contact:
Name: Mckim, Thomas D Doctor of Medicine (MD)
Phone: (208) 367-6901

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X M7009 Idaho

Profile Details

NPI number 1134236433
LBN Legal business name Mckim Surgery Center, Inc
DBA Doing business as
Authorized official Mckim, Thomas D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1134236433 NPPES
Idaho Other 000010147715 BLUE SHIELD
Idaho Other 04366 BLUE SHIELD

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