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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1344 HILAND AVE SUITE E BURLEY, ID 83318 US
Tel: 208-677-8888 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | ||
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE SHIELD | 24973 000010005417 | ID | 01 |
805534000 | ID | 05 | |
BLUE CROSS | 03822 | ID | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin