Mercy Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MERCY OUTPATIENT SURGERY CENTER

Doing business as

Mercy Ambucare

Practice address

4400 E Flamingo Ave
Nampa, ID 83687-9203

Phone

(208) 288-4753

Fax

(208) 288-4765

NPI assigned

May 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marger L. Fender

Title

Supervisor of Operation

Phone

(208) 288-4753

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Ambucare Doing business as

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316995905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 720",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83653",
            "telephone_number": "208-288-4753",
            "fax_number": "208-288-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879203",
            "telephone_number": "208-288-4753",
            "fax_number": "208-288-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "MARGER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SUPERVISOR OF OPERATION",
        "authorized_official_telephone_number": "208-288-4753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BLUE CROSS NUMBER",
            "identifier": "03277",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Ambucare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Nampa, ID
• Providers in Nampa, ID by specialty
• Ambulatory Surgical Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.