Snake River Gastroenterology Labs, L.L.C.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.

Doing business as

Snake River Endoscopy Center

Practice address

141 Morrison St
Twin Falls, ID 83301-5451

Phone

(208) 732-3030

Fax

(208) 733-8970

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Robert Ward, M.D.

Title

Physician

Phone

(208) 732-3030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SNAKE RIVER ENDOSCOPY CENTER Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1669410361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MORRISON ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015451",
            "telephone_number": "208-732-3030",
            "fax_number": "208-733-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MORRISON ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015451",
            "telephone_number": "208-732-3030",
            "fax_number": "208-733-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-732-3030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806686500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00056475",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNAKE RIVER ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tomais Jed Smith, LMSW
• Trevor Parker Smith, D.D.S.
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #35)
• Kelly Smothers, LPC, ICADC,SAP
• Snake River Ear, Nose & Throat PC
• Snake River Medical Services, Inc.
• Snake River Urology, P.C.
• Snake River Wound Care and Hyperbarics LLC
• Vanessa Snow, AUD
• Soaring Free PLLC

• Endoscopy Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Endoscopy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.