MAPLE GROVE SURGICAL LLC – NPI #1417675737
Clinic/Center
MAPLE GROVE SURGICAL LLC is an AHC clinic located in BOISE, ID. NPPES has assigned the NPI number 1417675737 to MAPLE GROVE SURGICAL LLC on August 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 2 years ago on Feb 02, 2024. 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 MAPLE GROVE SURGICAL LLC below.
NPI Profile for
MAPLE GROVE SURGICAL LLC
(about 4 years ago)
BOISE, ID 83709-1673 Phone: (208) 344-7944 Fax:
MEDICAL DIRECTOR
Phone: (204) 344-7944
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.
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) |
||
| 261QS0132X - Clinic/Center / Ophthalmologic Surgery |
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.