WEST TACOMA SURGERY CENTER LLC NPI 1144290776

NPI Information

NPI: 1144290776
Provider Name: WEST TACOMA SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1628 S MILDRED ST
SUITE 110
TACOMA, WA
ZIP 98465
Phone: (253) 564-2009
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WEST TACOMA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Tacoma, WA. WEST TACOMA SURGERY CENTER, LLC NPI is 1144290776. The provider is registered as an organization entity type.

The provider's business location address is:

1628 S MILDRED ST
SUITE 110
TACOMA, WA
ZIP 98465-627
Phone: (253) 564-2009
Fax: (253) 564-7420

The provider's authorized official is Joseph F. Jasper .
The authorized official title is Medical Dirct/managing Member and has the following contact phone number (253) 564-2009.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 3/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7116346	MEDICAID	WASHINGTON
2	GGAB14055	MEDICARE PIN	WASHINGTON
3	GAB14055	MEDICARE ID-TYPE UNSPECIFIED
4	GAB14055	MEDICARE PIN	WASHINGTON

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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