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NORTH IDAHO DAY SURGERY LLC NPI 1104824739


NPI Information

NPI: 1104824739
Provider Name: NORTH IDAHO DAY SURGERY LLC

Doing Business As: NORTHWEST SPECIALTY HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 13D2276263

Address:
1593 E POLSTON AVE
POST FALLS, ID
ZIP 83854
Phone: (208) 262-2300
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NORTH IDAHO DAY SURGERY LLC is a general acute care hospital in Post Falls, ID. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. NORTH IDAHO DAY SURGERY LLC NPI is 1104824739. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Specialty Hospital.

The provider's business location address is:

1593 E POLSTON AVE
POST FALLS, ID
ZIP 83854-326
Phone: (208) 262-2300
Fax: (208) 262-2390

The provider's authorized official is Rick S Rasmussen .
The authorized official title is Ceo and has the following contact phone number (208) 262-2320.

The CLIA number assigned to this NPI record is 13D2276263 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 3/5/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2282N00000XGeneral Acute Care Hospital65IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11104824739MEDICAIDIDAHO
200471OTHERIDAHOBLUE CROSS OF IDAHO
3000010145102OTHERIDAHOREGENCE BLUE SHIELD
40179400OTHERWASHINGTON WORKER COMP
51006277OTHERIDAHOSTATE INSURANCE FUND
623166OTHERGROUP HEALTH
7823016OTHERFIRST HEALTH

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

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