EVEREST ASC – NPI #1689349219
Clinic/Center

EVEREST ASC is an AHC clinic located in MERIDIAN, ID. NPPES has assigned the NPI number 1689349219 to EVEREST ASC on August 16, 2021. 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 last updated on Apr 18, 2025. 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 EVEREST ASC below.

NPI Profile for
EVEREST ASC

NPI Number
1689349219
Enumeration Date

(about 5 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
EVEREST ASC
Primary location
2960 E ST LUKES ST
MERIDIAN, ID 83642
Phone: (208) 378-4264 Fax:
Mailing address
2960 EAST ST LUKES ST
MERIDIAN, ID 83642
Phone: (208) 992-4111 Fax:
Organization Subpart
Yes - EVEREST ASC is subpart of another organization.
Authorized Official
ROSIE AVILA
DIRECTOR OF NURSING
Phone: (702) 506-5887
Updated
Certification Date
Apr 18, 2025

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.

Identifiers

Identifiers for EVEREST ASC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidID1184652364
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.