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PACIFIC RIM OUTPATIENT SURGERY CENTER LIMITED LIABILITY COMPANY NPI 1184607061


NPI Information

NPI: 1184607061
Provider Name: PACIFIC RIM OUTPATIENT SURGERY CENTER, LIMITED LIABILITY COMPANY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3009 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225
Phone: (360) 788-7740
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PACIFIC RIM OUTPATIENT SURGERY CENTER, LIMITED LIABILITY COMPANY is an ambulatory surgical clinic center in Bellingham, WA. PACIFIC RIM OUTPATIENT SURGERY CENTER, LIMITED LIABILITY COMPANY NPI is 1184607061. The provider is registered as an organization entity type.

The provider's business location address is:

3009 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225
Phone: (360) 788-7740
Fax: (360) 788-7782

The provider's authorized official is Gary Aaron Richberg .
The authorized official title is Administrator/director/managing Emp and has the following contact phone number (360) 788-7750.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 7/27/2018.


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 Surgical602068145001WASHINGTONYes

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
17119720MEDICAIDWASHINGTON

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: 11/14/2023

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