BE
BOISE ENDOSCOPY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
BOISE, ID
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1114912102
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients831
RevalidationDue 2024-01-31
Authorized official
NameROBERT LOCKWOOD
TitleAUTHORIZED OFFICIAL
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