Palouse Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PALOUSE SURGERY CENTER, LLC

Practice address

2300 W a St
Moscow, ID 83843-4038

Phone

(208) 883-1500

Fax

(208) 882-7701

NPI assigned

Jun 20, 2005

Last updated

Feb 13, 2024By 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. Susan Needham

Title

Office Manager

Phone

(208) 883-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Listed as

Palouse Surgery Center LLCCCN 13C0001051

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• Gritman Medical Center Inc.

  dba Gritman Internal Medicine Clinic

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Ronald W Alm, DPM

  • Primary Podiatric Medicine Podiatrist
  • Kuna, ID
  • NPI 1033105275
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1750386256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434038",
            "telephone_number": "208-883-1500",
            "fax_number": "208-882-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434038",
            "telephone_number": "208-883-1500",
            "fax_number": "208-882-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-883-1500",
        "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": "MEDICARE PTAN",
            "identifier": "1870569",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806919900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palouse Pediatric Dentistry
• Palouse Pelvic Rehabilitation & Physical Therapy, PLLC
• Palouse Prairie Educational Organization (Palouse Prairie School)
• Palouse Specialty Physicians, P.S. (Palouse Neurology)
• Palouse Specialty Physicians, P.S. (Palouse Oncology)
• Palouse View Dental PLLC
• Palouse Women's Wellness LLC
• Palouse-Clearwater Neurology, P.a.
• Diana L Pals, M. ED.
• Panhandle Anesthesia Associates of Moscow

• Ambulatory Surgical Clinic/Center in Moscow, ID
• Providers in Moscow, 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 Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.