Surgical Group, P.A.

LBN: Surgical Group, P.A.
Surgical Group, P.A. is an health care organization with primary practice located at 404 E Elm St , Caldwell ID 83605-4846. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgical Group, P.A. can be contacted via phone (208) 459-0028, or through Agee, Jon via phone (208) 459-0028.

Contact Information

Primary practice address
404 E Elm St Caldwell ID 83605-4846
Phone: (208) 459-0028
Fax: (208) 459-0380
Website:
Map and Directions
Authorized official contact:
Name: Agee, Jon Doctor of Medicine (MD)
Phone: (208) 459-0028

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1609839398
LBN Legal business name Surgical Group, P.A.
DBA Doing business as
Authorized official Agee, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 13th, 2010 - about 16 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 1609839398 NPPES
Idaho Other 87460 BLUE CROSS OF IDAHO
Idaho MEDICAID 002483000 BLUE CROSS OF IDAHO

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