IDAHO SURGICENTER SOUTH – NPI #1992759930
Clinic/Center
IDAHO SURGICENTER SOUTH is an AHC clinic located in POCATELLO, ID. NPPES has assigned the NPI number 1992759930 to IDAHO SURGICENTER SOUTH on May 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IDAHO SURGICENTER SOUTH” is a dba name, the actual legal business name for this organization is IDAHO SURGICENTER INC. 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 4 years ago on Jan 31, 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 IDAHO SURGICENTER SOUTH below.
NPI Profile for
IDAHO SURGICENTER INC
(more than 20 years ago)
POCATELLO, ID 83201 Phone: (208) 238-6337 Fax: (208) 776-5510
POCATELLO, ID 83206-2067 Phone: (208) 238-6337 Fax: (208) 776-5510
ADMINISTRATOR
Phone: (208) 852-6242
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 for IDAHO SURGICENTER SOUTH
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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS | ID | 03913 |
| OTHER | BLUE SHIELD | ID | 000010027108 |
| OTHER | RAILROAD MEDICARE | ID | P00091636 |
| MEDICAID | ID | 805730900 | |
| MEDICAID | ID | 807288200 |
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) |
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| 332B00000X - Durable Medical Equipment & Medical Supplies |
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| 213ES0103X - Podiatrist / Foot & Ankle Surgery |
ID | P166 |
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.