OrganizationActive
Idaho Falls Surgical Center
NPI 1821303298 · Durable Medical Equipment & Medical Supplies · Idaho Falls, ID
Provider details
- NPI number
- 1821303298
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Mark Petersen, Pres(208) 529-1945
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1945 E 17th St
Idaho Falls, ID 83404-6429
Phone: (208) 529-1945
Street-level locationGet directions
Mailing address
Po Box 52180
Idaho Falls, ID 83405-2180
Registry dates
- Enumerated
- 2010-08-10
- Last updated
- 2010-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.