Meadow Lake Surgery Center Inc

LBN: Meadow Lake Surgery Center Inc
Meadow Lake Surgery Center Inc is an health care organization with primary practice located at 3630 E Louise Dr Suite 200, Meridian ID 83642-7975. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Meadow Lake Surgery Center Inc can be contacted via phone (208) 377-9515, or through Wigod, Mark D via phone (208) 377-9515.

Contact Information

Primary practice address
3630 E Louise Dr Suite 200 Meridian ID 83642-7975
Phone: (208) 377-9515
Fax: (208) 377-9517
Website:
Map and Directions
Authorized official contact:
Name: Wigod, Mark D Doctor of Medicine (MD)
Phone: (208) 377-9515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X M8189 Idaho

Profile Details

NPI number 1740479476
LBN Legal business name Meadow Lake Surgery Center Inc
DBA Doing business as
Authorized official Wigod, Mark D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Sep 16th, 2013 - 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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