Organization
EVEREST ASC
Active
Parent organization
EVEREST SURGICAL INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVEREST SURGICAL INSTITUTE
Authorized official
ROSIE AVILA (DIRECTOR OF NURSING)
(702) 506-5887
Entity
Organization
Contact information
Practice address
2960 E ST LUKES ST, MERIDIAN, ID 83642
(208) 378-4264
Mailing address
2960 EAST ST LUKES ST, MERIDIAN, ID 83642
(208) 992-4111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184652364
—
ID
Enumeration date
08/16/2021
Last updated
04/18/2025
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