NPI age
19 years
Enumerated 2006-07-27
● Active Type 2 · Organization
Ambulatory Surgery Center Of Boise
Ambulatory Surgery Center Of Boise 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
Mallari
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
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
115 W Main St, Suite 102
Boise, ID 837027302
Mailing address
115 W Main St, Suite 102
Boise, ID 837027302
Authorized official
Cllinton Mallari, MD
Owner
📞 2083424700
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Clinton Mallari, MD Physical Medicine & Rehabilitation NPI 1154345585
- Wilbur Rader, M.D. General Practice NPI 1265452239
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.