Surgery Center Of Idaho Llc

LBN: Surgery Center Of Idaho Llc
Surgery Center Of Idaho Llc is an health care organization with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgery Center Of Idaho Llc can be contacted via phone (208) 639-4900, or through Waldmann, Todd Michael via phone (208) 639-4900.

Contact Information

Primary practice address
2855 E Magic View Dr Meridian ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4919
Website:
Map and Directions
Authorized official contact:
Name: Waldmann, Todd Michael Doctor of Medicine (MD)
Phone: (208) 639-4900

Health care specialties

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

Profile Details

NPI number 1609825298
LBN Legal business name Surgery Center Of Idaho Llc
DBA Doing business as
Authorized official Waldmann, Todd Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Feb 22nd, 2021 - about 5 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 1609825298 NPPES
Idaho MEDICAID 1870688
Idaho Other 000010157600
Idaho MEDICAID 807589100
Idaho Other 04868

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