DBA MERIDIAN ENDOSCOPY CENTER – NPI #1912992900
Clinic/Center

DBA MERIDIAN ENDOSCOPY CENTER is an AHC clinic located in MERIDIAN, ID. NPPES has assigned the NPI number 1912992900 to DBA MERIDIAN ENDOSCOPY CENTER on September 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA MERIDIAN ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is BOISE ENDOSCOPY CENTER, LLC. 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 4 years ago on Dec 08, 2022. 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 DBA MERIDIAN ENDOSCOPY CENTER below.

NPI Profile for
BOISE ENDOSCOPY CENTER, LLC

NPI Number
1912992900
Enumeration Date

(about 21 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
BOISE ENDOSCOPY CENTER, LLC
Doing Business As (dba): DBA MERIDIAN ENDOSCOPY CENTER
Primary location
2235 E GALA ST
MERIDIAN, ID 83642-7090
Phone: (208) 695-2100 Fax: (208) 695-2110
Mailing address
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone: (208) 343-1702 Fax: (208) 342-7042
Organization Subpart
Yes - DBA MERIDIAN ENDOSCOPY CENTER is subpart of another organization.
Authorized Official
REBECCA PAHSSEN
CREDENTIALING MANAGER
Phone: (208) 489-1431
Updated
Certification Date
Dec 08, 2022

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)		 ID 13-C0001057

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Boise
Endpoint type
Other URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
2235 E GALA ST,
MERIDIAN, ID 77025-1669