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PLASTIC SURGICENTRE INC NPI 1083780662


NPI Information

NPI: 1083780662
Provider Name: PLASTIC SURGICENTRE, INC

Doing Business As: THE PLASTIC SURGICENTRE, INC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
535 S PINE ST
SPOKANE, WA
ZIP 99202
Phone: (509) 623-2160
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PLASTIC SURGICENTRE, INC is an ambulatory surgical clinic center in Spokane, WA. PLASTIC SURGICENTRE, INC NPI is 1083780662. The provider is registered as an organization entity type.
The provider Is Doing Business As The Plastic Surgicentre, Inc.

The provider's business location address is:

535 S PINE ST
SPOKANE, WA
ZIP 99202-347
Phone: (509) 623-2160
Fax: (509) 623-1135

The provider's authorized official is Dee Irene Kincaid .
The authorized official title is Office Manager and has the following contact phone number (509) 838-7028.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalL0712575WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17059363MEDICAIDWASHINGTON
2G000304216MEDICARE PINWASHINGTON
369010MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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