Organization
MVH PARKWAY LLC
Active
Other names
PARKWAY SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
NED HILLYARD CCO (COMPLIANCE)
(208) 709-7571
Entity
Organization
Contact information
Practice address
1485 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-5100
Mailing address
1485 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-5100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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