North Idaho Day Surgery LLC
Organization Active NPI Multi-Specialty Clinic/Center · Athol, ID
NPI 1417870445 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1417870445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- NORTH IDAHO DAY SURGERY LLC
- Practice address
- 7173 E Super 1 Loop Ste B
Athol, ID 83801-7109 - Phone
- (208) 561-9901
- Fax
- (208) 561-9968
- NPI assigned
- Aug 4, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH IDAHO DAY SURGERY LLC
Authorized official
- Name
- Jason Bell
- Title
- Payor Enrollment Specialist
- Phone
- (208) 618-2559
Corporate family (same tax ID) 10
Practitioners 7
-
Holly Marie Heyne, FNP-C
-
Jennifer Lynn Ramsrud, MS, RDN, CDCES
-
Connie Marie Wilson, FNP
-
Patricia Ann Woods, NURSE PRACTITIONER
National Provider Directory
- Tax ID family
- North Idaho Day Surgery LLC
Locations
7173 E Super 1 Loop
Ste B
Athol, ID 83801
Phone (208) 561-9901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
7173 E Super 1 Loop Ste B
Athol, ID 83801-7109
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2498
Other providers in Athol, ID
- Erich Joseph Longpre
- Ryan James Macdonald
- Christiane E. Magera
- Natural Health Chiropractic LLC
- North Idaho Day Surgery LLC
- Lynne Kaulback Orange
- Hayden Kevin Sharp
- Smiles 4 Miles, LLC
- Kelly Sorensen
- Southeast First Assistant LLC
All providers in Athol, ID · Multi-Specialty Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.