Organization
NORTHWEST SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BELL (PAYOR ENROLLMENT SPECIALIST)
(208) 262-2498
Entity
Organization
Contact information
Practice address
1624 E MULLAN AVE, POST FALLS, ID 83854
(208) 770-2000
(208) 770-2001
Mailing address
1624 E MULLAN AVE, POST FALLS, ID 83854
(208) 770-2000
(208) 770-2001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
04/17/2024
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