RIVER RUN SURGERY CENTER, INC.
Surgery Yellow Pages
Boise, Idaho
Provider NPI: 1881699874
Organization Information:Organization Name: RIVER RUN SURGERY CENTER, INC.
Practice Location:
727 E RIVERPARK LN STE 200 BOISE, ID 83706 US
Tel: 208-433-8846 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:
727 E RIVERPARK LN STE 200 BOISE, ID 83706 US
Tel: 208-433-8846 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
8061459 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin