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GRANGE SURGERY CENTER PLLC
NPI 1316663032
Clinic/Center - Ambulatory Surgical in Eagle, ID

Active since October 14, 2022
450 W STATE ST STE 250, EAGLE, ID 83616(208) 506-7966 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2023, Jan 23, 2023, Oct 14, 2022 (3 updates tracked since 2022).

About Grange Surgery Center Pllc NPPES

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

GRANGE SURGERY CENTER PLLC (NPI 1316663032) is a healthcare organization registered as an ambulatory surgical in Eagle, Idaho and active in the NPI registry since October 2022. The organization lists Landon Grange, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316663032
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRANGE SURGERY CENTER PLLC
Location Address450 W STATE ST STE 250Eagle, ID 83616-6974
Mailing Address450 W State St Ste 250Eagle, ID 83616-6974 · (208) 506-7966
Phone(208) 506-7966
Organization SubpartNo
Authorized OfficialLandon GrangeMedical Director · (208) 506-7966
Enumeration DateOctober 14, 2022
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1316663032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
450 W STATE ST STE 250, Eagle, ID 83616
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRANGE OPHTHALMOLOGY, PLLC
Ophthalmology
450 W STATE ST STE 250
EAGLE, ID 83616
Ada County (208) 506-7966

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 Grange Surgery Center PLLC's NPI number?

The NPI number for Grange Surgery Center PLLC is 1316663032. It was assigned to this organization in the NPPES registry on October 14, 2022.

Where is Grange Surgery Center PLLC located?

Grange Surgery Center PLLC is located at 450 W State St Ste 250, Eagle, ID 83616. The listed phone number is (208) 506-7966.

What is Grange Surgery Center PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grange Surgery Center PLLC was last updated on August 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.