NPI age
20 years
Enumerated 2005-06-20
● Active Type 2 · Organization
Palouse Surgery Center, Llc
Palouse 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
Needham
Office Manager
Last NPPES update
2024-02-13
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2300 W A St
Moscow, ID 838434038
Mailing address
2300 W A St
Moscow, ID 838434038
Authorized official
Susan Needham
Office Manager
📞 2088831500
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Robert Ellison, CRNA Nurse Anesthetist, Certified Registered NPI 1265425714
- Robert Smith, CRNA Nurse Anesthetist, Certified Registered NPI 1861486565
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1870569 | MEDICARE PTAN |
| 05 (ID) | 806919900 |
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.