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Organization
BOISE ENDOSCOPY CENTER, LLC
Active
Organization
BOISE ENDOSCOPY CENTER, LLC
Active
Parent organization
BOISE ENDOSCOPY CENTER, LLC
Other names
dba Meridian Endoscopy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOISE ENDOSCOPY CENTER, LLC
Authorized official
TYE MCCOUBREY (DIRECTOR OF H.R.)
(208) 343-6458
Entity
Organization
Contact information
Practice address
2235 E GALA ST, MERIDIAN, ID 83642-7090
(208) 695-2100
(208) 695-2110
Mailing address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
(208) 343-5031
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
13-C0001057
ID
Other
Enumeration date
09/15/2005
Last updated
09/22/2026
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