IDAHO FALLS ASC NPI 1174005235

NPI Information

  • NPI: 1174005235
  • Provider Name: IDAHO FALLS ASC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 3302 VALENCIA DRIVE
    SUITE 101A
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 557-4525

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NPI Details

IDAHO FALLS ASC is an ambulatory surgical clinic center in Idaho Falls, ID. IDAHO FALLS ASC NPI is 1174005235. The provider is registered as an organization entity type.

The provider's business location address is:

3302 VALENCIA DRIVE
SUITE 101A
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 557-4525
Fax: (208) 542-4280

The provider's authorized official is Ned W Hillyard .
The authorized official title is Cco and has the following contact phone number (208) 557-2711.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones (HCPCS:64628)

The enumeration date for this NPI number is 9/5/2018 and was last updated on 1/23/2023.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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