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IDAHO SURGICENTER SOUTH
NPI 1992759930
Clinic/Center - Ambulatory Surgical in Pocatello, ID

Active since May 22, 2006CLIA 13D0970668 · Waiver
1157 CALL PLACE, POCATELLO, ID 83201(208) 238-6337(208) 776-5510 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho Surgicenter South NPPES

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

IDAHO SURGICENTER SOUTH (NPI 1992759930) is a healthcare organization registered as an ambulatory surgical in Pocatello, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 21, 2028 and lists Sean Barnard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992759930
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameIDAHO SURGICENTER INC
Location Address1157 CALL PLACEPocatello, ID 83201
Mailing AddressPo Box 2067Pocatello, ID 83206-2067 · (208) 238-6337 · Fax (208) 776-5510
Phone(208) 238-6337
Fax(208) 776-5510
Organization SubpartNo
Authorized OfficialSean BarnardAdministrator · (208) 852-6242
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1992759930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License P166 (ID), P92 (ID), P153 (ID)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1157 CALL PLACE, Pocatello, ID 83201
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Other Names 1

Doing Business AsIdaho Surgicenter South

Other Identifiers 5

Other03913ID · Blue Cross
Medicaid805730900ID
OtherP00091636ID · Railroad Medicare
Other000010027108ID · Blue Shield
Medicaid807288200ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 13D0970668

Idaho Surgicenter Inc · Pocatello, ID
Active · expires Feb 21, 2028
CLIA Number13D0970668
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 22, 2026
Certificate Expiration DateFebruary 21, 2028
Laboratory DirectorDarin Gambles
Laboratory Phone(208) 238-6337
Laboratory LocationIdaho Surgicenter Inc1157 Call Creek Pl, Pocatello, ID 83201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
18 services11 patients

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 Idaho Surgicenter Inc's NPI number?

The NPI number for Idaho Surgicenter Inc is 1992759930. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as Idaho Surgicenter South.

Where is Idaho Surgicenter Inc located?

Idaho Surgicenter Inc is located at 1157 Call Place, Pocatello, ID 83201. The listed phone number is (208) 238-6337.

What is Idaho Surgicenter Inc's specialty?

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

Does Idaho Surgicenter Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0970668) is associated with this NPI, valid through February 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Surgicenter Inc accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Idaho Surgicenter Inc 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 Idaho Surgicenter Inc was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.