OrganizationActive
Rexburg Surgery Center LLC
NPI 1831134584 · Ambulatory Surgical Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1831134584
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dwayne Hansen, Board Chairman(208) 359-2300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
381 East 4th North
Suite 200
Rexburg, ID 83440
Phone: (208) 359-2300
Street-level locationGet directions
Mailing address
381 East 4th North
Rexburg, ID 83440
Other names (DBA / former)
- Doing business as
- North Fork Surgery Center
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.