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

Rexburg Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1831134584

Rexburg Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
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

381 E 4th N Ste 200
Rexburg, ID 83440
Phone: (208) 359-2300
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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 (ID)

Record details

NPI number1831134584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwayne Hansen — Board Chairman · (208) 359-2300
Other names North Fork Surgery Center
NPI enumeratedJune 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address381 East 4th North, Suite 200, Rexburg, ID 83440

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