UPPER VALLEY SURGERY CENTER
NPI 1821420571
Clinic/Center - Ambulatory Surgical in Rexburg, ID

Q: What is Upper Valley Surgery Center's NPI number?

The NPI number for Upper Valley Surgery Center is 1821420571. It was assigned to this organization in the NPPES registry on August 5, 2013.

Q: What is Upper Valley Surgery Center's specialty?

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

Active since August 05, 2013CLIA 13D2126611 · Waiver

256 N 200 E, REXBURG, ID 83440(208) 656-9646(208) 656-9645 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Upper Valley Surgery Center NPPES

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

UPPER VALLEY SURGERY CENTER (NPI 1821420571) is a healthcare organization registered as an ambulatory surgical in Rexburg, Idaho and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Jay R Mcmaster, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1821420571

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameUPPER VALLEY SURGERY CENTER

Location Address256 N 200 ERexburg, ID 83440-2048

Mailing Address256 N 2nd ERexburg, ID 83440 · (208) 656-9646 · Fax (208) 656-9645

Phone(208) 656-9646

Fax(208) 656-9645

Organization SubpartNo

Authorized OfficialJay R McmasterPhysician/owner · (208) 656-9646

Enumeration DateAugust 5, 2013

Last NPPES UpdateJune 17, 2014

✔ NPI 1821420571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

256 N 200 E, Rexburg, ID 83440

Open in Google Maps ↗

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 and more.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 13D2126611

Upper Valley Surgery Center PLLC · Rexburg, ID

Active · expires Feb 28, 2027

CLIA Number13D2126611

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 1, 2025

Certificate Expiration DateFebruary 28, 2027

Laboratory DirectorJay Mcmasters

Laboratory Phone(208) 659-9646

Laboratory LocationUpper Valley Surgery Center PLLC256 N 2nd E #1, Rexburg, ID 83440

CLIA data matches this NPI record on: Address Name

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 Upper Valley Surgery Center's NPI number?

The NPI number for Upper Valley Surgery Center is 1821420571. It was assigned to this organization in the NPPES registry on August 5, 2013.

Where is Upper Valley Surgery Center located?

Upper Valley Surgery Center is located at 256 N 200 E, Rexburg, ID 83440. The listed phone number is (208) 656-9646.

What is Upper Valley Surgery Center's specialty?

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

Does Upper Valley Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2126611) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upper Valley Surgery Center accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Upper Valley Surgery Center 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 Upper Valley Surgery Center was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.