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PEND OREILLE SURGERY CENTER LLC
NPI 1821276353
Clinic/Center - Ambulatory Surgical in Ponderay, ID

Active since February 06, 2008CLIA 13D1086286 · Waiver
30544 HIGHWAY 200, SUITE 201, PONDERAY, ID 83852(208) 265-8194(208) 265-4870 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pend Oreille Surgery Center Llc NPPES

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

PEND OREILLE SURGERY CENTER LLC (NPI 1821276353) is a healthcare organization registered as an ambulatory surgical in Ponderay, Idaho and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Kristi Sabo, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1821276353
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePEND OREILLE SURGERY CENTER LLC
Location Address30544 HIGHWAY 200, SUITE 201Ponderay, ID 83852-5005
Mailing Address30544 Highway 200, Suite 201Ponderay, ID 83852-5005 · (208) 265-8194 · Fax (208) 265-4870
Phone(208) 265-8194
Fax(208) 265-4870
Organization SubpartNo
Authorized OfficialKristi SaboExecutive Director · (208) 265-8194
Enumeration DateFebruary 6, 2008
Last NPPES UpdateApril 27, 2012
✔ NPI 1821276353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
30544 HIGHWAY 200, Ponderay, ID 83852
Open in Google Maps ↗

Other Identifiers 2

Medicaid808553900ID
Medicare PIN1870013

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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 13D1086286

Pend Oreille Surgery Center · Ponderay, ID
Active · expires Jul 8, 2028
CLIA Number13D1086286
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorCharles Crane
Laboratory Phone(208) 265-8194
Laboratory LocationPend Oreille Surgery Center30544 Hwy 200 #201, Ponderay, ID 83852
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 11

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
73 services73 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
64 services63 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
32 services32 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
30 services30 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
29 services27 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
23 services23 patients

Other Providers at the Same Location NPPES 11

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

DR. JOAN M BLOOM M.D.
Family Medicine
30544 HIGHWAY 200, SUITE 102
PONDERAY, ID 83852
Bonner County (208) 265-9817
MICHAEL R DIBENEDETTO MD PLLC
Surgery (Plastic and Reconstructive Surgery)
30544 HIGHWAY 200, SUITE 102
PONDERAY, ID 83852
Bonner County (208) 263-5900
KAUAI IN-HOME THERAPY LLC
Clinic/Center (Physical Therapy)
30544 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (808) 652-1954
TARA HEISEY LMT
Massage Therapist
30544 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 205-9559
BRUCE DEMKO CRNA INC
Nurse Anesthetist, Certified Registered
30544 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 255-8013
ANGELA ALICE CHAPIN MT
Massage Therapist
30544 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 255-9559
MICHAEL RAYMOND DIBENEDETTO M.D.
Orthopaedic Surgery
30544 HIGHWAY 200, STE 102
PONDERAY, ID 83852
Bonner County (208) 265-9817
MR. BRUCE WILLIAM DEMKO CRNA
Nurse Anesthetist, Certified Registered
30544 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 255-8013

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 Pend Oreille Surgery Center LLC's NPI number?

The NPI number for Pend Oreille Surgery Center LLC is 1821276353. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Pend Oreille Surgery Center LLC located?

Pend Oreille Surgery Center LLC is located at 30544 Highway 200 Suite 201, Ponderay, ID 83852. The listed phone number is (208) 265-8194.

What is Pend Oreille Surgery Center LLC's specialty?

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

Does Pend Oreille Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1086286) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pend Oreille Surgery Center LLC accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Pend Oreille 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 Pend Oreille Surgery Center LLC was last updated on April 27, 2012. 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.