IE
IDAHO ENDOSCOPY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
NAMPA, ID
Licensed since
2020
Rate
—
Federal identifiers
NPI registry number1043835713
Agency details
Parent orgIDAHO ENDOSCOPY CENTER LLC
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,315
RevalidationDue 2026-07-31
Authorized official
NameMARK MALLORY
TitleMANAGER
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