Provider Type Icon

GOOD SAMARITAN SURGERY CENTER LLC NPI 1841286101


NPI Information

NPI: 1841286101
Provider Name: GOOD SAMARITAN SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1322 3RD ST SE
100
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-5700
Get Directions

GOOD SAMARITAN SURGERY CENTER LLC is an ambulatory surgical clinic center in Puyallup, WA. GOOD SAMARITAN SURGERY CENTER LLC NPI is 1841286101. The provider is registered as an organization entity type.

The provider's business location address is:

1322 3RD ST SE
100
PUYALLUP, WA
ZIP 98372-771
Phone: (253) 697-5700
Fax: (253) 840-2352

The provider's authorized official is Glenn Kasman .
The authorized official title is Administrator and has the following contact phone number (253) 697-2074.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 8/22/2020.


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 SurgicalWASHINGTONYes

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
17030638MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.