P Praxis·MD
● Active Type 2 · Organization

McKim Surgery Center, Inc

Clinic/Center·Boise, ID· NPI 1134236433 · Enumerated 2006 · 19 years on NPI
McKim Surgery Center, Inc is 1 of 99 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-23
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McKim
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 99 active clinic/center providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
900 N Liberty St Ste 300
Boise, ID 837048729
📞 2083676901fax 2083676904
Mailing address
900 N Liberty St Ste 300
Boise, ID 837048729
📞 2083676901fax 2083676904

Authorized official

Thomas D McKim, M.D.
Owner
📞 2083676901

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Lillian Perkins, CRNA Nurse Anesthetist, Certified Registered NPI 1063666576

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #M7009 taxonomy 261QA1903X

Identifiers

TypeValueNotes
01 (ID) 000010147715 BLUE SHIELD
01 (ID) 04366 BLUE CROSS OF IDAHO

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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