Search icon

IDAHO FALLS SURGICAL CENTER

Company claim

Is this your business?

Get access!

Company Details

Name: IDAHO FALLS SURGICAL CENTER
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 30 Dec 2011 (14 years ago)
Entity Number: 462959
Place of Formation: IDAHO
File Number: 0000462959
ZIP code: 83404
County: Bonneville County
Mailing Address: 2325 CORONADO ST IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1821303298

Authorized Person:

Name:
DR. MARK L PETERSEN
Role:
PRES
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2085232025

Form 5500 Series

Employer Identification Number (EIN):
820358597
Plan Year:
2011
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
49
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000462959 2011-12-30

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State