IDAHO FALLS ASC – NPI #1174005235
Clinic/Center

IDAHO FALLS ASC is an AHC clinic located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1174005235 to IDAHO FALLS ASC on September 05, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Jan 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDAHO FALLS ASC below.

NPI Profile for
IDAHO FALLS ASC

NPI Number
1174005235
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDAHO FALLS ASC
Primary location
3302 VALENCIA DRIVE
SUITE 101A
IDAHO FALLS, ID 83404
Phone: (208) 557-4525 Fax: (208) 542-4280
Mailing address
3302 VALENCIA DR STE 101A
IDAHO FALLS, ID 83404-7068
Phone: (208) 557-4525 Fax: (208) 542-4280
Organization Subpart
No
Authorized Official
NED HILLYARD
CCO
Phone: (208) 557-2711
Updated
Certification Date
Jan 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.