SANDPOINT SURGERY CENTER LLC NPI 1619370434

NPI Information

NPI: 1619370434
Provider Name: SANDPOINT SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 13D2085426

Address:
1327 SUPERIOR ST
SUITE 111
SANDPOINT, ID
ZIP 83864
Phone: (208) 501-8895
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SANDPOINT SURGERY CENTER LLC is an ambulatory surgical clinic center in Sandpoint, ID. SANDPOINT SURGERY CENTER LLC NPI is 1619370434. The provider is registered as an organization entity type.

The provider's business location address is:

1327 SUPERIOR ST
SUITE 111
SANDPOINT, ID
ZIP 83864-735
Phone: (208) 501-8895
Fax: (208) 965-8128

The provider's authorized official is Jeffrey S Ispirescu .
The authorized official title is Owner/medical Director and has the following contact phone number (208) 263-9757.

The CLIA number assigned to this NPI record is 13D2085426 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 10/7/2014.

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	W137644	IDAHO	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: 11/14/2023

NPI Synchronization or Removal

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