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Organization
TEN MILE SURGERY CENTER, LLC
Active
Organization
TEN MILE SURGERY CENTER, LLC
Active
Other names
Ten Mile Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BLOXHAM (ADMINISTRATOR)
(208) 302-7960
Entity
Organization
Contact information
Practice address
875 S VANGUARD WAY, MERIDIAN, ID 83642-7552
(208) 960-0870
Mailing address
875 S VANGUARD WAY STE 120, MERIDIAN, ID 83642-8541
(208) 302-7960
(208) 302-7999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
05/14/2025
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