Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Surgery Center of Burley, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1992706840

Ambulatory Surgery Center of Burley, LLC is an Ambulatory Surgical Clinic/Center in Burley, Idaho. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1344 Hiland Ave Ste E
Burley, ID 83318-1564
Phone: (208) 677-8888
Fax: (208) 678-5833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1992706840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Petersen — Ceo · (208) 677-8888
NPI enumeratedAugust 2, 2005
Last updated in NPPESAugust 17, 2017
Mailing address1344 Hiland Ave, Suite E, Burley, ID 83318-1564