MADISON AVENUE SURGERY CENTER LLC; NPI #1225488216

Contact Information

MADISON AVENUE SURGERY CENTER LLC

1855 MADISON AVENUE
IDAHO FALLS, ID 83404

Phone: 208-881-5351
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for MADISON AVENUE SURGERY CENTER LLC

NPI #	`1225488216`
LBN Legal business name	MADISON AVENUE SURGERY CENTER LLC
Authorized official	KIM BELL - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/21/2016
Last updated	12/29/2016 - About 9 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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