| NPI | 1851552483 |
|---|---|
| Former Legal Business Name | SKYLINE SURGERY CENTER INC |
| Entity Type | Organization |
| Authorized Contact | KATHRYN BUCKALEW Administrator 208-785-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-05-31 |