| NPI | 1831134584 |
|---|---|
| Doing Business As | NORTH FORK SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DWAYNE M HANSEN Board Chairman 208-359-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID 13-C0001061) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |