Healthcare Provider Details

I. General information

NPI: 1881516201
Provider Name (Legal Business Name): NORTH IDAHO DAY SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1593 E POLSTON AVE
POST FALLS ID
83854-5326
US

IV. Provider business mailing address

9631 N NEVADA ST STE 202
SPOKANE WA
99218-1197
US

V. Phone/Fax

Practice location:
  • Phone: 208-262-2498
  • Fax: 208-262-7461
Mailing address:
  • Phone: 509-444-6400
  • Fax: 509-444-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON BELL
Title or Position: PAYOR ENROLLMENT SPECIALIST
Credential:
Phone: 208-618-2559