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EMERALD SURGICAL CENTER LLC
NPI 1376607309
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since December 21, 2006CLIA 13D1015796 · Waiver
811 N LIBERTY ST, BOISE, ID 83704(208) 323-4522 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emerald Surgical Center Llc NPPES

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

EMERALD SURGICAL CENTER LLC (NPI 1376607309) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Kerry W. Anderson, Mgn. Partner, as its authorized official.

NPPES Registry Identity

NPI1376607309
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEMERALD SURGICAL CENTER LLC
Location Address811 N LIBERTY STBoise, ID 83704-8703
Mailing Address811 N Liberty StBoise, ID 83704-8703 · (208) 323-4522
Phone(208) 323-4522
Organization SubpartNo
Authorized OfficialKerry W. AndersonMgn. Partner · (208) 323-4522
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376607309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
811 N LIBERTY ST, Boise, ID 83704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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 13D1015796

Emerald Surgical Center · Boise, ID
Active · expires Aug 12, 2027
CLIA Number13D1015796
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorRonald Kristensen
Laboratory Phone(208) 323-4522
Laboratory LocationEmerald Surgical Center811 N Liberty Street, Boise, ID 83704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
30 services30 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
17 services13 patients

Other Providers at the Same Location NPPES 3

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

KEVIN L COLEMAN CRNA
Nurse Anesthetist, Certified Registered
811 N LIBERTY ST
BOISE, ID 83704
Ada County (208) 323-4522
HAPPY ZONE INC.
Nurse Anesthetist, Certified Registered
811 N LIBERTY ST
BOISE, ID 83704
Ada County (208) 323-4522
TRINITY ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
811 N LIBERTY ST
BOISE, ID 83704
Ada County (208) 323-4522

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 Emerald Surgical Center LLC's NPI number?

The NPI number for Emerald Surgical Center LLC is 1376607309. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Emerald Surgical Center LLC located?

Emerald Surgical Center LLC is located at 811 N Liberty St, Boise, ID 83704. The listed phone number is (208) 323-4522.

What is Emerald Surgical Center LLC's specialty?

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

Does Emerald Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1015796) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Emerald Surgical Center LLC accept?

Health plans from PacificSource Health Plans list Emerald Surgical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emerald Surgical Center LLC 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 5 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.