PROVIDENCE HEALTH & SERVICES-WASHINGTON NPI 1588294854

NPI Information

NPI: 1588294854
Provider Name: PROVIDENCE HEALTH & SERVICES-WASHINGTON

Doing Business As: PROVIDENCE SURGERY CENTER, PACIFIC CAMPUS

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

Specialization: Ambulatory Surgical

Address:
916 PACIFIC AVE STE 110
EVERETT, WA
ZIP 98201
Phone: (425) 261-2000
Get Directions

PROVIDENCE HEALTH & SERVICES-WASHINGTON is an ambulatory surgical clinic center in Everett, WA. PROVIDENCE HEALTH & SERVICES-WASHINGTON NPI is 1588294854. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Surgery Center, Pacific Campus.

The provider's business location address is:

916 PACIFIC AVE STE 110
EVERETT, WA
ZIP 98201-147
Phone: (425) 261-2000
Fax: (425) 261-4051

The provider's authorized official is Eric Boon .
The authorized official title is Market President and has the following contact phone number (480) 567-0269.

The enumeration date for this NPI number is 1/24/2020 and was last updated on 8/23/2023.

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			Yes

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

NPI Synchronization or Removal

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