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General NPI Number Information
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NPI Number | 1104824739
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Entity Type | Organization
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Legal Business Name | NORTH IDAHO DAY SURGERY LLC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1593 E POLSTON AVE
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City | POST FALLS
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State | ID
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Zip | 83854-5326
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Country | US
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Telephone | 208-262-2300
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Fax | 208-262-2390
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Provider Business Mailing Address
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Address Line | 1593 E POLSTON AVE
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City | POST FALLS
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State | ID
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Zip | 83854-5326
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Country | US
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Telephone | 208-262-2300
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Fax | 208-262-2390
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Authorized Official
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Title or Position | PAYOR ENROLLMENT SPECIALIST
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Name | JASON BELL
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Credential |
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Telephone | 208-618-2559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 65
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License Number State | ID
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