NPI age
1 years
Enumerated 2025-02-04
● Active Type 2 · Organization
Bonneville Surgery Center Llc
Bonneville Surgery Center Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Van Orden
Secretary
Last NPPES update
2025-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
1 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-02Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2001 S Woodruff Ave Ste 6
Idaho Falls, ID 834046371
Mailing address
2001 S Woodruff Ave Ste 6
Idaho Falls, ID 834046371
Authorized official
Derek Van Orden
Secretary
📞 2087158220
Specialties
-
Clinic/Center PrimaryDefinition 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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