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TEN MILE SURGERY CENTER, LLC
NPI 1689260341
Clinic/Center - Ambulatory Surgical in Meridian, ID

Active since December 17, 2020CLIA 13D2215010 · Waiver
875 S VANGUARD WAY, MERIDIAN, ID 83642(208) 960-0870 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Jun 18, 2024, Dec 17, 2020 (3 updates tracked since 2020).

About Ten Mile Surgery Center, Llc NPPES

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

TEN MILE SURGERY CENTER, LLC (NPI 1689260341), doing business as Ten Mile Surgery Center, is a healthcare organization registered as an ambulatory surgical in Meridian, Idaho and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Jennifer Bloxham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689260341
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTEN MILE SURGERY CENTER, LLC
Location Address875 S VANGUARD WAYMeridian, ID 83642-7552
Mailing Address875 S Vanguard Way Ste 120Meridian, ID 83642-8541 · (208) 302-7960 · Fax (208) 302-7999
Phone(208) 960-0870
Organization SubpartNo
Authorized OfficialJennifer BloxhamAdministrator · (208) 302-7960
Enumeration DateDecember 17, 2020
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1689260341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
875 S VANGUARD WAY, Meridian, ID 83642
Open in Google Maps ↗

Other Names 1

Doing Business AsTen Mile Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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 13D2215010

Ten Mile Surgery Center · Meridian, ID
Active · expires Feb 25, 2027
CLIA Number13D2215010
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorJennifer L. Bloxham
Laboratory Phone(208) 960-0870
Laboratory LocationTen Mile Surgery Center875 S Vanguard Way Ste 120, Meridian, ID 83642
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 7

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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
10,640 services62 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
40 services24 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
38 services20 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
38 services19 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
17 services17 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
17 services16 patients

Other Providers at the Same Location NPPES 8

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

INTERMOUNTAIN AMBULATORY ANESTHESIA PLLC
Anesthesiology
875 S VANGUARD WAY
MERIDIAN, ID 83642
Ada County (208) 373-5000
ROBERT ELVON JACKSON MD
Urology
875 S VANGUARD WAY, SUITE 200 D
MERIDIAN, ID 83642
Ada County (208) 782-6730
GARRETT SWEET NURSE PRACTITIONER
Urology
875 S VANGUARD WAY, SUITE 200 D
MERIDIAN, ID 83642
Ada County (208) 782-6730
NICOLE MARIE FUNK PA-C
Physician Assistant (Surgical)
875 S VANGUARD WAY
MERIDIAN, ID 83642
Ada County (208) 463-3000
DR. MICHAEL BINNS TAYLOR MD
Urology
875 S VANGUARD WAY, SUITE 200 D
MERIDIAN, ID 83642
Ada County (208) 782-6730
MR. BRIAN DENNIS KITTELSON DNP, ARNP, FNP-C
Nurse Practitioner (Family)
875 S VANGUARD WAY
MERIDIAN, ID 83642
Ada County (208) 884-2922
MARI A RILEY MD
Family Medicine
875 S VANGUARD WAY
MERIDIAN, ID 83642
Ada County (208) 463-3000
SOUTHERN IDAHO HEALTH PARTNERS LLC
General Practice
875 S VANGUARD WAY
MERIDIAN, ID 83642
Ada County (208) 463-3000

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 Ten Mile Surgery Center, LLC's NPI number?

The NPI number for Ten Mile Surgery Center, LLC is 1689260341. It was assigned to this organization in the NPPES registry on December 17, 2020. The provider is doing business as Ten Mile Surgery Center.

Where is Ten Mile Surgery Center, LLC located?

Ten Mile Surgery Center, LLC is located at 875 S Vanguard Way, Meridian, ID 83642. The listed phone number is (208) 960-0870.

What is Ten Mile Surgery Center, LLC's specialty?

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

Does Ten Mile Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2215010) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ten Mile Surgery Center, LLC accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Ten Mile Surgery 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 Ten Mile Surgery Center, LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.