SOUTHWEST IDAHO SURGERY CENTER, INC.
NPI 1477619005
Clinic/Center - Ambulatory Surgical in Boise, ID

NPI Status: Active since December 28, 2006

Contact Information

900 N LIBERTY ST
SUITE 450
BOISE, ID
ZIP 83704
Phone: (208) 367-7431
Fax: (208) 367-7433

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 13D2117273
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-11-2026

About SOUTHWEST IDAHO SURGERY CENTER, INC.

This page provides the complete NPI Profile along with additional information for Southwest Idaho Surgery Center, Inc., a provider established in Boise, Idaho operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1477619005 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Arthur C Jones Iii M.d. (President)

NPI
1477619005
Provider Name
SOUTHWEST IDAHO SURGERY CENTER, INC.
Entity Type
Organization
Location Address
900 N LIBERTY ST SUITE 450 BOISE, ID 83704
Location Phone
(208) 367-7431
Location Fax
(208) 367-7433
Mailing Address
900 N LIBERTY ST SUITE 450 BOISE, ID 83704
Mailing Phone
(208) 367-7431
Mailing Fax
(208) 367-7433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
ID

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ARTHUR C JONES III M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 367-7431

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Removal of nasal air passage under lining tissue

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

This service was performed 28 times for 14 patients

Reshaping of nasal cartilage

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

This service was performed 19 times for 19 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2117273
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
LAURA A. HESSION
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwest Idaho Surgery Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTHWEST IDAHO SURGERY CENTER, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477619005, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 2 + 1 + 1 + 8 + 0 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477619005.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Podiatrist
900 N LIBERTY ST, SUITE 306
BOISE, ID 83704
Podiatrist
900 N LIBERTY ST, SUITE 306
BOISE, ID 83704
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Obstetrics & Gynecology (Maternal & Fetal Medicine)
900 N LIBERTY ST, SUITE 206
BOISE, ID 83704
Obstetrics & Gynecology (Maternal & Fetal Medicine)
900 N LIBERTY ST, STE 206
BOISE, ID 83704
Nurse Practitioner
900 N LIBERTY ST, SUITE 302
BOISE, ID 83704
Dentist
900 N LIBERTY ST, SUITE 304
BOISE, ID 83704
Obstetrics & Gynecology
900 N LIBERTY ST, SUITE 204
BOISE, ID 83704
Clinic/Center (Ambulatory Surgical)
900 N LIBERTY ST, SUITE 300
BOISE, ID 83704
Audiologist
900 N LIBERTY ST, STE 400
BOISE, ID 83704
Internal Medicine (Cardiovascular Disease)
900 N LIBERTY ST, SUITE 302
BOISE, ID 83704
Obstetrics & Gynecology (Gynecologic Oncology)
900 N LIBERTY ST, STE 101
BOISE, ID 83704
Surgery (Plastic and Reconstructive Surgery)
900 N LIBERTY ST, STE 101
BOISE, ID 83704
Physician Assistant (Surgical)
900 N LIBERTY ST, STE 101
BOISE, ID 83704
Obstetrics & Gynecology
900 N LIBERTY ST, SUITE 204
BOISE, ID 83704
Dietitian, Registered
900 N LIBERTY ST
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477619005, enumerated as an "organization" on December 28, 2006.

The provider is located at 900 N LIBERTY ST SUITE 450 BOISE, ID 83704 and the phone number is (208) 367-7431.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.