PREMIER SURGICAL CENTER, INC – NPI #1275516718
Clinic/Center

PREMIER SURGICAL CENTER, INC is an AHC clinic located in BOISE, ID. NPPES has assigned the NPI number 1275516718 to PREMIER SURGICAL CENTER, INC on November 29, 2005. 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 15 years ago on Oct 07, 2011. 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 PREMIER SURGICAL CENTER, INC below.

NPI Profile for
PREMIER SURGICAL CENTER, INC

NPI Number
1275516718
Enumeration Date

(more than 20 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
PREMIER SURGICAL CENTER, INC
Primary location
5680 W GAGE ST
BOISE, ID 83706-1326
Phone: (208) 377-3937 Fax: (208) 377-9455
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN SONNTAG
MEDICAL DIRECTOR
Phone: (208) 377-3937
Updated
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.