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

Maple Grove Surgical LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417675737

Maple Grove Surgical LLC is an Ambulatory Surgical Clinic/Center in Boise, Idaho. Registered with an NPI since 2022.

In the registry since
2022
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

8955 W Hackamore Dr
Boise, ID 83709-1673
Phone: (208) 344-7944
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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 number1417675737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Neale — Medical Director · (204) 344-7944
NPI enumeratedAugust 22, 2022
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024
Mailing address8955 W Hackamore Dr, Boise, ID 83709-1673

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