1114912102 BOISE ENDOSCOPY CENTER, LLC
Ambulatory Surgical Clinic/Center
Active
Basic Information
- Organization Name
- BOISE ENDOSCOPY CENTER, LLC
- Enumeration Date
- September 15, 2005
- Last Update
- December 8, 2022
- Authorized Official
- REBECCA PAHSSEN
CREDENTIALING MANAGER
Phone: (208) 489-1431
Practice Location
- Address
- 425 W BANNOCK ST
BOISE, ID 837026035 - Phone
- (208) 342-7169
- Fax
- (208) 368-0863
Mailing Address
- Address
- 425 W BANNOCK ST
BOISE, ID 837026035 - Phone
- (208) 342-7169
- Fax
- (208) 368-0863
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center Ambulatory Surgical | 261QA1903X | Clinic/Center | 1870273 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010005291 | 01 | ID | BLUE SHIELD OF IDAHO |
| 04580 | 01 | ID | BLUE CROSS OF IDAHO |
| 805944300 | 05 | ID | N/A |
Digital Endpoints
OTHERS Use: HIE
Boise
Frequently Asked Questions
What is BOISE ENDOSCOPY CENTER, LLC's NPI number?
BOISE ENDOSCOPY CENTER, LLC's NPI number is 1114912102.
Which doctor has NPI number 1114912102?
The doctor with NPI number 1114912102 is BOISE ENDOSCOPY CENTER, LLC.
What is BOISE ENDOSCOPY CENTER, LLC's practice address?
BOISE ENDOSCOPY CENTER, LLC's practice address is 425 W BANNOCK ST, BOISE, ID, 837026035.
Which doctor practices at 425 W BANNOCK ST, BOISE, ID, 837026035?
BOISE ENDOSCOPY CENTER, LLC practices at 425 W BANNOCK ST, BOISE, ID, 837026035.
What is BOISE ENDOSCOPY CENTER, LLC's phone number?
BOISE ENDOSCOPY CENTER, LLC's phone number is (208) 342-7169.
Who is (208) 342-7169?
(208) 342-7169 is the phone number for BOISE ENDOSCOPY CENTER, LLC.
What is BOISE ENDOSCOPY CENTER, LLC's specialty?
BOISE ENDOSCOPY CENTER, LLC's specialty is Ambulatory Surgical Clinic/Center.
What type of doctor is BOISE ENDOSCOPY CENTER, LLC?
BOISE ENDOSCOPY CENTER, LLC is a Ambulatory Surgical Clinic/Center.
Is BOISE ENDOSCOPY CENTER, LLC a Ambulatory Surgical?
Yes, BOISE ENDOSCOPY CENTER, LLC is a Ambulatory Surgical.
Is BOISE ENDOSCOPY CENTER, LLC still practicing?
Yes, BOISE ENDOSCOPY CENTER, LLC is currently practicing.
Is BOISE ENDOSCOPY CENTER, LLC accepting new patients?
BOISE ENDOSCOPY CENTER, LLC may be accepting new patients. Please call their office at (208) 342-7169 to inquire about availability.
Is NPI 1114912102 still active?
Yes, NPI 1114912102 is currently active.
Where does BOISE ENDOSCOPY CENTER, LLC practice?
BOISE ENDOSCOPY CENTER, LLC practices in BOISE, ID.