# SYRINGA SURGICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457345530
- **Authorized official:** MS. VALERIE RAMSDEN (OFFICE MANAGER)
- **Authorized official phone:** (208) 298-0103

## Contact information

- **Practice address:** 1630 23RD AVE, SUITE 901B, LEWISTON, ID 83501-6350
- **Practice address phone:** (208) 298-0103
- **Practice address fax:** (208) 746-8566
- **Mailing address:** 1630 23RD AVE, SUITE 901B, LEWISTON, ID 83501-6353
- **Mailing address phone:** (208) 298-0103
- **Mailing address fax:** (208) 746-8566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 04/19/2016