SIPI AMBULATORY SURGERY CENTER; NPI #1518272087

Contact Information

SIPI AMBULATORY SURGERY CENTER

176 FALLS AVENUE
TWIN FALLS, ID 83301

Phone: 208-733-3181
Fax: 208-733-3168
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 SIPI AMBULATORY SURGERY CENTER

NPI Number 1518272087

LBN Legal business name SIPI AMBULATORY SURGERY CENTER

Authorized official DENISE RUE - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/09/2010

Last updated 11/05/2013 - About 13 years ago

Identifiers

ID	License #	M7113
ID	Medicaid	804229000
ID	Other	03384	BLUE CROSS ASC
ID	Other	000010006663	REGENCE ASC

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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