Bonneville Surgery Center LLC
Bonneville Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2001 S Woodruff Ave Ste 6Idaho Falls, ID 83404-6371
Phone: (208) 715-8220
Fax: (208) 715-8221
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1366256943 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derek Van Orden — Secretary · (208) 715-8220 |
| NPI enumerated | February 4, 2025 |
| Last updated in NPPES | February 4, 2025 |
| Certification date | February 4, 2025 |
| Mailing address | 2001 S Woodruff Ave Ste 6, Idaho Falls, ID 83404-6371 |
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