HENRY'S FORK SURGERY CENTER PLLC is an ambulatory surgical clinic center in Rexburg, ID. HENRY'S FORK SURGERY CENTER PLLC NPI is 1235768490. The provider is registered as an organization entity type.
The provider's business location address is:
23 SAWTELLE AVE
REXBURG, ID
ZIP 83440
Phone: (208) 359-1888
Fax: (208) 359-1889
The provider's authorized official is Holly Allen .
The authorized official title is Manager and has the following contact phone number (208) 359-1888.
The CLIA number assigned to this NPI record is 13D2193453 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/8/2020 and was last updated on 4/30/2020.