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PALOUSE SURGERY CENTER, LLC

Surgery Yellow Pages

Moscow, Idaho

Provider NPI: 1750386256

Organization Information:
Organization Name:  PALOUSE SURGERY CENTER, LLC


Practice Location:
2300 W A ST  MOSCOW, ID 83843 US
Tel: 208-883-1500  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN1870569ID01
806919900ID05
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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