NPI age
3 years
Enumerated 2022-10-14
● Active Type 2 · Organization
Grange Surgery Center Pllc
Grange Surgery Center Pllc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grange
Medical Director
Last NPPES update
2023-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
3 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
450 W State St Ste 250
Eagle, ID 836166974
Mailing address
450 W State St Ste 250
Eagle, ID 836166974
Authorized official
Landon Grange, MD
Medical Director
📞 2085067966
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.