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BOISE ENDOSCOPY CENTER, LLC

Surgery Yellow Pages

Boise, Idaho

Provider NPI: 1114912102

Organization Information:
Organization Name:  BOISE ENDOSCOPY CENTER, LLC


Practice Location:
425 W BANNOCK ST  BOISE, ID 83702 US
Tel: 208-342-7169  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
ID1870273

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELD OF IDAHO000010005291ID01
BLUE CROSS OF IDAHO04580ID01
805944300ID05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



JOBS ID - Page 1



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