ADDISON SURGERY CENTER; NPI #1811992811

Contact Information

ADDISON SURGERY CENTER

191 ADDISON AVE
STE 1
TWIN FALLS, ID 83301-5177

Phone: 208-734-5993
Fax: 208-736-1968
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 ADDISON SURGERY CENTER

NPI Number 1811992811

LBN Legal business name ADDISON SURGERY CENTER

Authorized official DAVID BLACKMER - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/16/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

8042431

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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