NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ambulatory Surgery Center of Burley, LLC

Ambulatory Surgical Clinic/Center in Burley, ID · enumerated 2005 · authorized official Joseph Petersen, Ceo.

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

National Provider Identifier

1992706840

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Ambulatory Surgery Center of Burley, LLC
Practice address 1344 Hiland Ave, Suite E, Burley, ID, 83318
Phone (208) 677-8888
Fax (208) 678-5833
Enumeration date Aug 2, 2005
Last updated in NPPES Aug 17, 2017

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Joseph Petersen
Title Ceo
Phone (208) 677-8888

Other identifiers

Identifier Type State Issuer
805534000 Medicaid ID -
24973 000010005417 Other ID BLUE SHIELD
03822 Other ID BLUE CROSS

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Ambulatory Surgery Center of Burley, LLC?
The NPI for Ambulatory Surgery Center of Burley, LLC is 1992706840, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ambulatory Surgery Center of Burley, LLC?
NPPES lists Joseph Petersen (Ceo) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-08-17.