ASC NORTHWEST LLC NPI 1033712781

NPI Information

NPI: 1033712781
Provider Name: ASC NORTHWEST LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 13D2234793

Address:
850 W IRONWOOD DR STE B-101
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-1376
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ASC NORTHWEST LLC is an ambulatory surgical clinic center in Coeur D Alene, ID. ASC NORTHWEST LLC NPI is 1033712781. The provider is registered as an organization entity type.

The provider's business location address is:

850 W IRONWOOD DR STE B-101
COEUR D ALENE, ID
ZIP 83814-903
Phone: (208) 667-1376

The provider's authorized official is Kellie Carter .
The authorized official title is Practice Manager and has the following contact phone number (208) 667-1376.

The CLIA number assigned to this NPI record is 13D2234793 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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