AMBULATORY SURGERY CENTER OF BOISE
NPI 1417971847
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since July 27, 2006
115 W MAIN ST, SUITE 102, BOISE, ID 83702(208) 342-4700(208) 342-4710 Get Directions Write a Review

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

About Ambulatory Surgery Center Of Boise NPPES

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

AMBULATORY SURGERY CENTER OF BOISE (NPI 1417971847) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since July 2006. The organization lists Cllinton Mallari, Owner, as its authorized official.

NPPES Registry Identity

NPI1417971847
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGERY CENTER OF BOISE
Location Address115 W MAIN ST, SUITE 102Boise, ID 83702-7302
Mailing Address115 W Main St, Suite 102Boise, ID 83702-7302 · (208) 342-4700 · Fax (208) 342-4710
Fax(208) 342-4710
Organization SubpartNo
Authorized OfficialCllinton MallariOwner · (208) 342-4700
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1417971847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
115 W MAIN ST, Boise, ID 83702

Other Providers at the Same Location NPPES 4

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

Physical Medicine & Rehabilitation (Pain Medicine)
115 W MAIN ST, SUITE 102
BOISE, ID 83702
Physical Medicine & Rehabilitation (Pain Medicine)
115 W MAIN ST, SUITE 102
BOISE, ID 83702
General Practice
115 W MAIN ST, SUITE 101
BOISE, ID 83702
Pain Medicine (Interventional Pain Medicine)
115 W MAIN ST, 102
BOISE, ID 83702

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 Ambulatory Surgery Center Of Boise's NPI number?

The NPI number for Ambulatory Surgery Center Of Boise is 1417971847. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Ambulatory Surgery Center Of Boise located?

Ambulatory Surgery Center Of Boise is located at 115 W Main St Suite 102, Boise, ID 83702. The listed phone number is (208) 342-4700.

What is Ambulatory Surgery Center Of Boise'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 Ambulatory Surgery Center Of Boise 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.