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IDAHO SURGERY CENTER
NPI 1386614519
Clinic/Center - Ambulatory Surgical in Caldwell, ID

Active since January 23, 2006CLIA 13D1046352 · Waiver
3115 MEDICAL DRIVE, CALDWELL, ID 83605(208) 453-8668(208) 453-8448 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Surgery Center NPPES

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

IDAHO SURGERY CENTER (NPI 1386614519) is a healthcare organization registered as an ambulatory surgical in Caldwell, Idaho and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Kathy Hogue, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1386614519
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameIDAHO SURGERY CENTER, LLC
Location Address3115 MEDICAL DRIVECaldwell, ID 83605-6972
Mailing Address3115 Medical DriveCaldwell, ID 83605-6972 · (208) 453-8668 · Fax (208) 453-8448
Phone(208) 453-8668
Fax(208) 453-8448
Organization SubpartNo
Authorized OfficialKathy HogueBusiness Office Manager · (208) 453-8668
Enumeration DateJanuary 23, 2006
Last NPPES UpdateAugust 31, 2011
✔ NPI 1386614519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3115 MEDICAL DRIVE, Caldwell, ID 83605
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Other Names 1

Other NameIdaho Surgery Center

Other Identifiers 2

Medicaid807417200ID
Medicare PIN1870660

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 13D1046352

Idaho Surgery Center · Caldwell, ID
Active · expires May 24, 2027
CLIA Number13D1046352
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorRichard Augustus
Laboratory Phone(208) 453-8668
Laboratory LocationIdaho Surgery Center2115 Medical Way, Caldwell, ID 83605
CLIA data matches this NPI record on: Name Phone
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 Idaho Surgery Center, LLC's NPI number?

The NPI number for Idaho Surgery Center, LLC is 1386614519. It was assigned to this organization in the NPPES registry on January 23, 2006. The provider is also known as Idaho Surgery Center.

Where is Idaho Surgery Center, LLC located?

Idaho Surgery Center, LLC is located at 3115 Medical Drive, Caldwell, ID 83605. The listed phone number is (208) 453-8668.

What is Idaho Surgery Center, LLC's specialty?

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

Does Idaho Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1046352) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Surgery Center, LLC was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.