BOISE ENDOSCOPY CENTER LLC NPI 1912992900

NPI Information

NPI: 1912992900
Provider Name: BOISE ENDOSCOPY CENTER, LLC

Doing Business As: DBA MERIDIAN ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2235 E GALA ST
MERIDIAN, ID
ZIP 83642
Phone: (208) 695-2100
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BOISE ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Meridian, ID. BOISE ENDOSCOPY CENTER, LLC NPI is 1912992900. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Meridian Endoscopy Center.

The provider's business location address is:

2235 E GALA ST
MERIDIAN, ID
ZIP 83642-090
Phone: (208) 695-2100
Fax: (208) 695-2110

The provider's authorized official is Philip D Jensen .
The authorized official title is President and has the following contact phone number (208) 343-6458.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/22/2019.

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	13-C0001057	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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