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ROCKY MOUNTAIN SURGERY CENTER
NPI 1114013869
Clinic/Center - Ambulatory Surgical in Pocatello, ID

Active since October 04, 2006CLIA 13D2039395 · Waiver
333 N 18TH AVE STE C, POCATELLO, ID 83201(208) 234-7800(208) 234-9515 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rocky Mountain Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKY MOUNTAIN SURGERY CENTER (NPI 1114013869) is a healthcare organization registered as an ambulatory surgical in Pocatello, Idaho and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Janelle Stocker, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1114013869
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROCKY MOUNTAIN SURGERY CENTER
Location Address333 N 18TH AVE STE CPocatello, ID 83201-3358
Mailing Address333 N 18th Ave Ste CPocatello, ID 83201-3358 · (208) 234-7800 · Fax (208) 234-9515
Phone(208) 234-7800
Fax(208) 234-9515
Organization SubpartNo
Authorized OfficialJanelle StockerBusiness Manager · (208) 234-7800
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114013869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
333 N 18TH AVE STE C, Pocatello, ID 83201
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2039395

Rocky Mountain Surgery Center · Pocatello, ID
Active · expires Apr 8, 2028
CLIA Number13D2039395
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorAmmon R. Ashby
Laboratory Phone(208) 239-3900
Laboratory LocationRocky Mountain Surgery Center333 N 18th Ave Bldg #c, Pocatello, ID 83201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rocky Mountain Surgery Center's NPI number?

The NPI number for Rocky Mountain Surgery Center is 1114013869. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Rocky Mountain Surgery Center located?

Rocky Mountain Surgery Center is located at 333 N 18th Ave Ste C, Pocatello, ID 83201. The listed phone number is (208) 234-7800.

What is Rocky Mountain Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Rocky Mountain Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2039395) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rocky Mountain Surgery Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.