SKYLINE SURGERY CENTER, LLC – NPI #1851552483
Clinic/Center

SKYLINE SURGERY CENTER, LLC is an AHC clinic located in POCATELLO, ID. NPPES has assigned the NPI number 1851552483 to SKYLINE SURGERY CENTER, LLC on June 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is SKYLINE SURGERY CENTER INC. 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 8 years ago on May 31, 2018. 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 SKYLINE SURGERY CENTER, LLC below.

NPI Profile for
SKYLINE SURGERY CENTER, LLC

NPI Number
1851552483
Enumeration Date

(about 18 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
SKYLINE SURGERY CENTER, LLC
Former Legal Business Name: SKYLINE SURGERY CENTER INC
Primary location
285 VISTA DR
STE C
POCATELLO, ID 83201
Phone: (208) 478-1704 Fax: (208) 233-6970
Mailing address
285 VISTA DRIVE
SUITE C
POCATELLO, ID 83201
Phone: (208) 478-1704 Fax: (208) 233-6970
Organization Subpart
No
Authorized Official
KATHRYN BUCKALEW
ADMINISTRATOR
Phone: (208) 785-3877
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.