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

Surgicare Center of Idaho, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1114923471

Surgicare Center of Idaho, LLC is an Ambulatory Surgical Clinic/Center in Boise, 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

360 E Mallard Dr Ste 125
Boise, ID 83706-3941
Phone: (208) 336-8700
Fax: (208) 426-0902
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
Ophthalmologic Surgery Clinic/Center Taxonomy 261QS0132X

Record details

NPI number1114923471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Pennow — Director · (208) 336-8700
NPI enumeratedJune 22, 2005
Last updated in NPPESOctober 10, 2016
Mailing address360 E Mallard Dr, Ste 125, Boise, ID 83706-6644

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