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Contact Information

INLAND NORTHWEST SURGERY CENTER PLLC
229 S 7TH ST
SAINT MARIES, ID83861-1803
 Phone: 509-924-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for INLAND NORTHWEST SURGERY CENTER PLLC

NPI # 1770013443
LBN Legal business name INLAND NORTHWEST SURGERY CENTER PLLC
Authorized official TRENA LUNDSTROM - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2017
Last updated 06/15/2017 - About 9 years ago
Identifiers
ID License # P-224
WA License # 6011706837
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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