Organization
MERCY OUTPATIENT SURGERY CENTER
Active
Other names
Mercy Ambucare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGER L. FENDER (SUPERVISOR OF OPERATION)
(208) 288-4753
Entity
Organization
Contact information
Practice address
4400 E FLAMINGO AVE, NAMPA, ID 83687-9203
(208) 288-4753
(208) 288-4765
Mailing address
P.O. BOX 720, NAMPA, ID 83653
(208) 288-4753
(208) 288-4765
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03277
IDAHO BLUE CROSS NUMBER
ID
Enumeration date
05/05/2006
Last updated
08/22/2020
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