Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Rexburg Surgery Center LLC

Ambulatory Surgical Clinic/Center in Rexburg, ID · enumerated 2006 · authorized official Dwayne Hansen, Board Chairman.

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

National Provider Identifier

1831134584

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Registry record

Entity type Organization (Type 2)

Legal business name Rexburg Surgery Center LLC

Other name <Unavail>

Practice address 381 East 4th North, Suite 200, Rexburg, ID, 83440

Phone (208) 359-2300

Enumeration date Jun 17, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Dwayne Hansen

Title Board Chairman

Phone (208) 359-2300

Other identifiers

Identifier	Type	State	Issuer
000010158869	Other	ID	BLUE SHIELD PROVIDER NUMB
04870	Other	ID	BLUE CROSS PROVIDER NUMBE
80760000	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

Where is Rexburg Surgery Center LLC located?

The practice location on file with NPPES is in Rexburg, ID.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Dwayne Hansen Surgery Physician · Rexburg, ID NPI 1376581546

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.