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OVERLAKE AMBULATORY SURGERY CENTER LLC NPI 1528145778


NPI Information

NPI: 1528145778
Provider Name: OVERLAKE AMBULATORY SURGERY CENTER, LLC

Doing Business As: OVERLAKE SURGERY CENTER LLC

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

Specialization: Ambulatory Surgical

Address:
1135 116TH AVE NE
300
BELLEVUE, WA
ZIP 98004
Phone: (425) 709-2500
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OVERLAKE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bellevue, WA. OVERLAKE AMBULATORY SURGERY CENTER, LLC NPI is 1528145778. The provider is registered as an organization entity type.
The provider Is Doing Business As Overlake Surgery Center Llc.

The provider's business location address is:

1135 116TH AVE NE
300
BELLEVUE, WA
ZIP 98004
Phone: (425) 709-2500
Fax: (425) 709-2323

The provider's authorized official is Wendy J Taylor .
The authorized official title is Executive Director and has the following contact phone number (425) 709-7523.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/29/2012.


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 SurgicalYes

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
1AB17141MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
27102890MEDICAIDWASHINGTON
3362OTHERPREMERA BLUE CROSS
40141317OTHERLABOR & INDUSTRIES
5903004OTHERREGENCE BLUE SHIELD

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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