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Organization
MERCY OUTPATIENT SURGERY CENTER
Active
Organization
MERCY OUTPATIENT SURGERY CENTER
Active
Other names
Mercy Ambucare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGER L. FENDER (SUPERVISOR OF OPERATION)
(208) 288-4753
Entity
Organization
Contact information
Practice address
4400 E FLAMINGO AVE, NAMPA, ID 83687-9203
(208) 288-4753
(208) 288-4765
Mailing address
P.O. BOX 720, NAMPA, ID 83653
(208) 288-4753
(208) 288-4765
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03277
IDAHO BLUE CROSS NUMBER
ID
Enumeration date
05/05/2006
Last updated
08/22/2020
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