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Surgicare Center of Idaho, LLC

Ambulatory Surgical Clinic/Center in Boise, ID · enumerated 2005 · authorized official Louis Pennow, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114923471

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Registry record

Entity type Organization (Type 2)
Legal business name Surgicare Center of Idaho, LLC
Practice address 360 E Mallard Dr, Ste 125, Boise, ID, 83706
Phone (208) 336-8700
Fax (208) 426-0902
Enumeration date Jun 22, 2005
Last updated in NPPES Oct 10, 2016

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary
261QS0132X Ophthalmologic Surgery Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Louis Pennow
Title Director
Phone (208) 336-8700

Other identifiers

Identifier Type State Issuer
273390 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Surgicare Center of Idaho, LLC?
NPPES lists Louis Pennow (Director) as the authorized official for this organization.
What is the NPI number for Surgicare Center of Idaho, LLC?
The NPI for Surgicare Center of Idaho, LLC is 1114923471, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-10.