Grange Surgery Center PLLC
Grange Surgery Center PLLC is an Ambulatory Surgical Clinic/Center in Eagle, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
450 W State St Ste 250Eagle, ID 83616-6974
Phone: (208) 506-7966
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 |
|---|---|
| Ophthalmologic Surgery Clinic/Center | Taxonomy 261QS0132X |
Record details
| NPI number | 1316663032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Landon Grange — Medical Director · (208) 506-7966 |
| NPI enumerated | October 14, 2022 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
| Mailing address | 450 W State St Ste 250, Eagle, ID 83616-6974 |