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Organization
NORTHERN LAKES SURGERY CENTER, LLC
Active
Organization
NORTHERN LAKES SURGERY CENTER, LLC
Active
Other names
Hayden Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY THOMSON (ADMINISTRATOR)
(480) 447-3579
Entity
Organization
Contact information
Practice address
8552 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
(208) 457-4211
(208) 773-1473
Mailing address
8552 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
07/05/2024
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