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Contact Information

SURGERY CENTER
115 FALLS AVE W
TWIN FALLS, ID83301
 Phone: 208-733-1662
 Fax: 208-734-1023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for SURGERY CENTER

NPI Number 1497745178
LBN Legal business name SURGERY CENTER
Authorized official DEBORAH WENSINK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2005
Last updated 08/10/2020 - About 6 years ago
Identifiers
ID Medicaid 805302100
Other 000010004906 REGENCE BLE SHIELD
ID Other 00331 BLUE CROSS OF ID
ID Other 00331 BLUE CROSS OF ID TRAD
ID Other 04473 BLUE CROSS OF IDAHO PPO
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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