Rexburg Surgery Center LLC

Rexburg Surgery Center LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Rexburg, ID, holding Type 2 (organization) NPI 1831134584 since 2006. The authorized official on file is Dwayne Hansen, Board Chairman.

✓ Active NPI ✓ Valid NPI checksum

NPI	1831134584
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	2083592300
Enumeration date	2006-06-17
Last updated in NPPES	2020-08-22

Authorized official

Name	Dwayne Hansen
Title	Board Chairman
Phone	2083592300

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QA1903X	Ambulatory Surgical Clinic/Center	Primary	—	ID

Other identifiers

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

Copy-ready billing details

Provider: Rexburg Surgery Center LLC
NPI: 1831134584
Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center)
Address: 381 EAST 4TH NORTH, SUITE 200, Rexburg, ID, 83440

Providers at this address

NPI	Name	Type	Specialty	Location
1376581546	Dwayne Hansen	Individual	Surgery Physician	Rexburg, ID

Verify this record

Cross-check NPI 1831134584 against the authoritative CMS record: view Rexburg Surgery Center LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.