Local City Search for Surgeons and Surgical Clinics 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:
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:
2300 W A ST MOSCOW, ID 83843 US
Tel: 208-883-1500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | ID |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PTAN | 1870569 | ID | 01 |
| 806919900 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
