1841295227 GRAND TETON SURGICAL CENTER LLC
Ambulatory Surgical Clinic/Center
Active
Basic Information
- Organization Name
- GRAND TETON SURGICAL CENTER LLC
- Enumeration Date
- June 14, 2005
- Last Update
- March 2, 2010
- Authorized Official
- TERESA WELLARD R.N.
DIRECTOR OF NURSING
Phone: (208) 524-3800
Practice Location
- Address
- 2290 CORONADO ST
IDAHO FALLS, ID 834047552 - Phone
- (208) 524-3800
- Fax
- (208) 524-3805
Mailing Address
- Address
- 2290 CORONADO ST
IDAHO FALLS, ID 834047552 - Phone
- (208) 524-3800
- Fax
- (208) 524-3805
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center Ambulatory Surgical | 261QA1903X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03772 | 01 | ID | BLUE CROSS |
| 000010005323 | 01 | ID | REGENCE BLUE SHIELD |
| 805482600 | 05 | ID | N/A |
Frequently Asked Questions
What is GRAND TETON SURGICAL CENTER LLC's NPI number?
GRAND TETON SURGICAL CENTER LLC's NPI number is 1841295227.
Which doctor has NPI number 1841295227?
The doctor with NPI number 1841295227 is GRAND TETON SURGICAL CENTER LLC.
What is GRAND TETON SURGICAL CENTER LLC's practice address?
GRAND TETON SURGICAL CENTER LLC's practice address is 2290 CORONADO ST, IDAHO FALLS, ID, 834047552.
Which doctor practices at 2290 CORONADO ST, IDAHO FALLS, ID, 834047552?
GRAND TETON SURGICAL CENTER LLC practices at 2290 CORONADO ST, IDAHO FALLS, ID, 834047552.
What is GRAND TETON SURGICAL CENTER LLC's phone number?
GRAND TETON SURGICAL CENTER LLC's phone number is (208) 524-3800.
Who is (208) 524-3800?
(208) 524-3800 is the phone number for GRAND TETON SURGICAL CENTER LLC.
What is GRAND TETON SURGICAL CENTER LLC's specialty?
GRAND TETON SURGICAL CENTER LLC's specialty is Ambulatory Surgical Clinic/Center.
What type of doctor is GRAND TETON SURGICAL CENTER LLC?
GRAND TETON SURGICAL CENTER LLC is a Ambulatory Surgical Clinic/Center.
Is GRAND TETON SURGICAL CENTER LLC a Ambulatory Surgical?
Yes, GRAND TETON SURGICAL CENTER LLC is a Ambulatory Surgical.
Is GRAND TETON SURGICAL CENTER LLC still practicing?
Yes, GRAND TETON SURGICAL CENTER LLC is currently practicing.
Is GRAND TETON SURGICAL CENTER LLC accepting new patients?
GRAND TETON SURGICAL CENTER LLC may be accepting new patients. Please call their office at (208) 524-3800 to inquire about availability.
Is NPI 1841295227 still active?
Yes, NPI 1841295227 is currently active.
Where does GRAND TETON SURGICAL CENTER LLC practice?
GRAND TETON SURGICAL CENTER LLC practices in IDAHO FALLS, ID.