MAGIC VALLEY SURGERY CLINIC PA NPI 1699971192

NPI Information

  • NPI: 1699971192
  • Provider Name: MAGIC VALLEY SURGERY CLINIC, PA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 630 ADDISON AVE W STE 230
    TWIN FALLS, ID
    ZIP 83301
  • Phone: (208) 736-8735

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NPI Details

MAGIC VALLEY SURGERY CLINIC, PA is a clinic center in Twin Falls, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MAGIC VALLEY SURGERY CLINIC, PA NPI is 1699971192. The provider is registered as an organization entity type.

The provider's business location address is:

630 ADDISON AVE W STE 230
TWIN FALLS, ID
ZIP 83301-474
Phone: (208) 736-8735
Fax: (208) 736-5999

The provider's authorized official is Stephen E Schmid .
The authorized official title is Owner and has the following contact phone number (208) 736-8735.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 7/12/2007.

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
1261Q00000XClinic/CenterM-5842IDAHOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11372333MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2E87107MEDICARE UPINIDAHO

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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