RIVER CITY SURGICAL CENTER (NPI# 1558733147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558733147 |
Entity Type | Organization |
Organization Name | RIVER CITY SURGICAL CENTER |
Practice Address |
10118 W Overland Rd Boise ID 83709-1428 |
Mailing Address |
Po Box 44163 Boise ID 83711-0163 |
Practice Telephone | 2088872233 |
Mailing Telephone | 2088872233 |
Enumeration Date | 2015-10-22 |
Last Update Date | 2016-08-22 |
Authorized Official Name | ROY ROGERS (MEMBER) |
Authorized Official Telephone | 2083768873 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
10118 W OVERLAND RD |
City | BOISE |
State | ID |
Zip Code | 83709-1428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972976694 | R & D Anesthesia | Anesthesiology | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-11-03 |
1184096620 | Darrel Paulus Larson | Registered Nurse | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
Find all providers in zip 83709 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255500427 | Les Bois Surgery Center, LLP | Clinic/Center | 8950 W Emerald St Ste 164, Boise, ID 83704-8296 | 2008-02-21 |
1902960206 | Sinus Surgery Center Idaho Pa | Clinic/Center | 727 E River Park Ln, Suite 200, Boise, ID 83706-4097 | 2006-12-20 |
1316961089 | Orthopedic Surgery Center of Idaho, LLC | Clinic/Center | 1425 W River St, Boise, ID 83702-6861 | 2006-07-27 |
1750884052 | Precision Surgery Center Pllc | Clinic/Center | 900 N Liberty St Ste 300, Boise, ID 83704-8729 | 2018-03-13 |
1629597216 | Genesis Surgery Center | Clinic/Center | 8950 W Emerald St Ste 164, Boise, ID 83704-8296 | 2017-09-14 |
1750616249 | Idaho Endoscopy Center LLC | Clinic/Center | 6259 W Emerald St, Boise, ID 83704-8731 | 2009-10-16 |
1548433790 | Ada Plastic and Reconstructive Surgery | Clinic/Center | 900 N Liberty St, Suite 300, Boise, ID 83704-8704 | 2008-04-09 |
1023228558 | Boise Gastroenterology Associates | Clinic/Center | 6259 W Emerald St, Boise, ID 83704-8731 | 2007-05-23 |
1477619005 | Southwest Idaho Surgery Center, Inc. | Clinic/Center | 900 N Liberty St, Suite 450, Boise, ID 83704-8704 | 2006-12-28 |
1376607309 | Emerald Surgical Center LLC | Clinic/Center | 811 N Liberty St, Boise, ID 83704-8703 | 2006-12-21 |
Find all providers in BOISE |
Please comment or provide details below to improve the information on RIVER CITY SURGICAL CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.