Organization
NORTHERN LAKES SURGERY CENTER, LLC
Active
Other names
Hayden Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY THOMSON (ADMINISTRATOR)
(480) 447-3579
Entity
Organization
Contact information
Practice address
8552 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
(208) 457-4211
(208) 773-1473
Mailing address
8552 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
07/05/2024
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