Organization Active NPI

North Idaho Day Surgery LLC

Doing business as Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
National Provider Identifier
1104824739
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
65 Issued in ID
Legal business name
NORTH IDAHO DAY SURGERY LLC
Doing business as
Northwest Specialty Hospital
Practice address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone
(208) 262-2300
Fax
(208) 262-2390
NPI assigned
Jul 8, 2005
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Bell
Title
Payor Enrollment Specialist
Phone
(208) 618-2559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X 65 ID Primary

Addresses

Primary practice location

1593 E Polston Ave
Post Falls, ID 83854-5326

Mailing address

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

Other practice location 1

315 W Dalton Ave Ste A
Coeur D Alene, ID 83815-8600
Phone (208) 209-2060

Other practice location 2

750 N Syringa St Ste 203A
Post Falls, ID 83854-5275
Phone (208) 262-2717

Other practice location 3

1551 E Mullan Ave Ste 100
Post Falls, ID 83854-9005
Phone (208) 262-2482

Other practice location 4

7173 E Super 1 Loop Ste B
Athol, ID 83801-7109
Phone (208) 687-4878

Other practice location 5

750 N Syringa St Ste 103
Post Falls, ID 83854-5275
Phone (208) 415-0151

Other practice location 6

2207 N Molter Rd Ste 101
Liberty Lake, WA 99019-7570
Phone (509) 324-1222

Other practice location 7

1651 E Polston Ave
Post Falls, ID 83854-6245
Phone (208) 457-4208

Other practice location 8

7173 E Super 1 Loop Ste A
Athol, ID 83801-7109
Phone (208) 561-9970

Other practice location 9

750 N Syringa St Ste 201
Post Falls, ID 83854-5275
Phone (208) 262-2379

Other practice location 10

315 W Dalton Ave Ste B
Coeur D Alene, ID 83815-8600
Phone (208) 209-2066

Other practice location 11

15622 N Highway 41
Rathdrum, ID 83858-8710
Phone (208) 687-4878

Other practice location 12

622 W College Ave
St Maries, ID 83861-1822
Phone (208) 568-7800

Other practice location 13

1624 E Mullan Ave
Post Falls, ID 83854-9008
Phone (208) 770-2000

Other practice location 14

7600 N Mineral Dr Ste 110
Coeur D Alene, ID 83815-7763
Phone (208) 619-8250

Other practice location 15

1551 E Mullan Ave Ste 101
Post Falls, ID 83854-9005
Phone (208) 262-2439

Other practice location 16

1551 E Mullan Ave Ste 200C
Post Falls, ID 83854-9005
Phone (208) 618-2570

Other practice location 17

1551 E Mullan Ave Ste 200B
Post Falls, ID 83854-9005
Phone (208) 262-2213

Other practice location 18

750 N Syringa St Ste 100
Post Falls, ID 83854-5275
Phone (208) 262-2600

Other practice location 19

7600 N Mineral Dr Ste 111
Coeur D Alene, ID 83815-7763
Phone (208) 457-4208

Other practice location 20

1551 E Mullan Ave Ste 200A
Post Falls, ID 83854-9005
Phone (208) 262-2311

Other practice location 21

1551 E Mullan Ave Ste 200D
Post Falls, ID 83854-9005
Phone (208) 262-2441

Other practice location 22

9631 N Nevada St Ste 202
Spokane, WA 99218-1197
Phone (509) 444-6400

Other practice location 23

750 N Syringa St Ste 205
Post Falls, ID 83854-5275
Phone (208) 262-0945

Other practice location 24

1551 E Mullan Ave Ste 102
Post Falls, ID 83854-9005
Phone (208) 262-2328

Other names 1

  • Northwest Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030826000037 ID Part A Provider - Hospital 0840101218 2 other NPIs on this enrollment
Practice locations: Saint Maries, ID; Rathdrum, ID; Post Falls, ID; Kellogg, ID; Coeur D Alene, ID; Athol, ID
O20110401000539 ID Part B Supplier - Clinic/Group Practice 0840101218 Receives reassigned benefits from 112 practitioners
Practice locations: Rathdrum, ID; Post Falls, ID; Coeur D Alene, ID; Athol, ID
O20150309000301 WA Part B Supplier - Clinic/Group Practice 0840101218 Receives reassigned benefits from 6 practitioners
Practice locations: Spokane, WA; Spokane Valley, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104824739. Details of each certification follow.

Hospital certification: CCN 130066

Legal name
NORTH IDAHO DAY SURGERY LLC
Doing business as
NORTHWEST SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 16, 2003
Last certification
Feb 6, 2026
Beds
34
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Dec 12, 2001 in ID
Enrollment address
1593 E Polston Ave
Post Falls, ID 83854-5326
Main/Primary Hospital Location
Hospital subgroups
Specialty hospital

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Northwest Specialty HospitalCCN 130066 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2011399Northwest Specialty Hospital1593 E Polston Ave, Post Falls, ID 83854ComplianceApr 10, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7173 E Super 1 Loop
Ste A
Athol, ID 83801
Phone (208) 561-9970

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

315 W Dalton Ave
Ste B
Coeur D Alene, ID 83815
Phone (208) 209-2066

7600 N Mineral Dr
Ste 110
Coeur D Alene, ID 83815
Phone (208) 619-8250

7600 N Mineral Dr
Ste 113
Coeur D Alene, ID 83815

7600 N Mineral Dr
Ste 450B
Coeur D Alene, ID 83815
Phone (208) 209-2066

7600 N Mineral Dr
Ste 600
Coeur D Alene, ID 83815

1551 E Mullan Ave
Ste 101
Post Falls, ID 83854
Phone (208) 262-2311

1551 E Mullan Ave
Ste 200
Post Falls, ID 83854
Phone (208) 618-2570

1551 E Mullan Ave
Ste 200A
Post Falls, ID 83854
Phone (208) 262-2311

1551 E Mullan Ave
Ste 200B
Post Falls, ID 83854
Phone (208) 262-2213

1551 E Mullan Ave
Ste 200C
Post Falls, ID 83854
Phone (208) 618-2570

1551 E Mullan Ave
Ste 200D
Post Falls, ID 83854
Phone (208) 262-2441

1651 E Polston Ave
Post Falls, ID 83854
Phone (208) 457-4208

750 N Syringa St
Ste 100A
Post Falls, ID 83854
Phone (208) 262-2311

750 N Syringa St
Ste 100B
Post Falls, ID 83854
Phone (208) 262-2600

750 N Syringa St
Ste 101
Post Falls, ID 83854
Phone (208) 262-0156

750 N Syringa St
Ste 101B
Post Falls, ID 83854
Phone (208) 262-2482

750 N Syringa St
Ste 103
Post Falls, ID 83854
Phone (208) 415-0151

750 N Syringa St
Ste 104
Post Falls, ID 83854
Phone (208) 262-2213

750 N Syringa St
Ste 190
Post Falls, ID 83854
Phone (208) 262-2328

750 N Syringa St
Ste 201A
Post Falls, ID 83854
Phone (208) 262-2379

750 N Syringa St
Ste 203A
Post Falls, ID 83854
Phone (208) 262-2717

750 N Syringa St
Ste 206B
Post Falls, ID 83854
Phone (208) 262-2439

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
SP Holdco I Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2021 67.35%
National Surgical Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 16, 2021 57.9%
Sgry Holdings, LP Organization, Brentwood, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 26, 2021 9.45%
Jennifer B Baldock Individual Corporate OfficerOfficer and Authorized Official Sep 1, 2017
FMR LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Nov 21, 2022 8.89%
SP Management Services Inc Organization, Brentwood, TN Corporation, For-profit Operational/Managerial Control Sep 17, 2020 100%
Bcpe Seminole Holdings, LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest May 16, 2021 20.21%
Sgry, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 26, 2021 9.45%
Rick S Rasmussen Individual Corporate OfficerCeo Jul 1, 2012
W-2 Managing EmployeeCeo Jul 1, 2012
Surgery Partners Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 17, 2020 67.35%
Mountain View Hospital LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 17, 2020 13.63%
Surgery Center Holdings Inc Organization, Brentwood, TN For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 17, 2020 67.35%
NSH North Idaho, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 17, 2020 57.9%
MVH NWSH LLC Organization, Brentwood, TN Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 17, 2020 13.63%
Harrison R Bane Individual OtherNatl GRP Pres & Chain Home Off Admn Sep 1, 2024
Symbion Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 26, 2021 9.45%
Smbi Idaho LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 26, 2021 9.45%
Roger C Dunteman Individual 5% Or Greater Direct Ownership Interest Sep 17, 2020 7%
Surgery Center Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 17, 2020 67.35%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 131

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 131

Affiliated clinicians 385

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 385

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1104824739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545326",
            "telephone_number": "208-262-2300",
            "fax_number": "208-262-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545326",
            "telephone_number": "208-262-2300",
            "fax_number": "208-262-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Dalton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158600",
            "country_code": "US",
            "telephone_number": "208-209-2060",
            "fax_number": "208-209-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N Syringa St Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545275",
            "country_code": "US",
            "telephone_number": "208-262-2717",
            "fax_number": "208-262-2719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-262-2482",
            "fax_number": "208-262-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7173 E Super 1 Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Athol",
            "state": "ID",
            "postal_code": "838017109",
            "country_code": "US",
            "telephone_number": "208-687-4878",
            "fax_number": "208-687-4879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N Syringa St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545275",
            "country_code": "US",
            "telephone_number": "208-415-0151",
            "fax_number": "208-777-1591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2207 N Molter Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990197570",
            "country_code": "US",
            "telephone_number": "509-324-1222",
            "fax_number": "509-324-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 E Polston Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838546245",
            "country_code": "US",
            "telephone_number": "208-457-4208",
            "fax_number": "208-457-4197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7173 E Super 1 Loop Ste A",
            "address_purpose": "LOCATION",
            "city": "Athol",
            "state": "ID",
            "postal_code": "838017109",
            "country_code": "US",
            "telephone_number": "208-561-9970",
            "fax_number": "208-561-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N Syringa St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545275",
            "country_code": "US",
            "telephone_number": "208-262-2379",
            "fax_number": "208-262-2318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W Dalton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158600",
            "country_code": "US",
            "telephone_number": "208-209-2066",
            "fax_number": "208-209-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15622 N Highway 41",
            "address_purpose": "LOCATION",
            "city": "Rathdrum",
            "state": "ID",
            "postal_code": "838588710",
            "country_code": "US",
            "telephone_number": "208-687-4878",
            "fax_number": "208-687-4879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 W College Ave",
            "address_purpose": "LOCATION",
            "city": "St Maries",
            "state": "ID",
            "postal_code": "838611822",
            "country_code": "US",
            "telephone_number": "208-568-7800",
            "fax_number": "877-902-7131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 E Mullan Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549008",
            "country_code": "US",
            "telephone_number": "208-770-2000",
            "fax_number": "208-770-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 N Mineral Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838157763",
            "country_code": "US",
            "telephone_number": "208-619-8250",
            "fax_number": "208-981-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-262-2439",
            "fax_number": "208-508-2259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-618-2570",
            "fax_number": "208-618-8779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-262-2213",
            "fax_number": "208-262-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N Syringa St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545275",
            "country_code": "US",
            "telephone_number": "208-262-2600",
            "fax_number": "208-262-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 N Mineral Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838157763",
            "country_code": "US",
            "telephone_number": "208-457-4208",
            "fax_number": "208-457-4197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-262-2311",
            "fax_number": "208-619-5038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 200D",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-262-2441",
            "fax_number": "208-262-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9631 N Nevada St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181197",
            "country_code": "US",
            "telephone_number": "509-444-6400",
            "fax_number": "509-444-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 N Syringa St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545275",
            "country_code": "US",
            "telephone_number": "208-262-0945",
            "fax_number": "208-415-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 E Mullan Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549005",
            "country_code": "US",
            "telephone_number": "208-262-2328",
            "fax_number": "208-619-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH IDAHO DAY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PAYOR ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "208-618-2559"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.