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AMBULATORY SURGERY CENTER OF BURLEY, LLC

Surgery Yellow Pages

Burley, Idaho

Provider NPI: 1992706840

Organization Information:
Organization Name:  AMBULATORY SURGERY CENTER OF BURLEY, LLC


Practice Location:
1344 HILAND AVE SUITE E BURLEY, ID 83318 US
Tel: 208-677-8888  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELD24973 000010005417ID01
805534000ID05
BLUE CROSS03822ID01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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