SURGERY CENTER ENUMCLAW NPI 1649368341

NPI Information

  • NPI: 1649368341
  • Provider Name: SURGERY CENTER ENUMCLAW
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2820 GRIFFIN AVE
    SUITE 100
    ENUMCLAW, WA
    ZIP 98022
  • Phone: (360) 802-5231

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NPI Details

SURGERY CENTER ENUMCLAW is an ambulatory surgical clinic center in Enumclaw, WA. SURGERY CENTER ENUMCLAW NPI is 1649368341. The provider is registered as an organization entity type.

The provider's business location address is:

2820 GRIFFIN AVE
SUITE 100
ENUMCLAW, WA
ZIP 98022-373
Phone: (360) 802-5231
Fax: (360) 802-5236

The provider's authorized official is David H Bishop .
The authorized official title is Board Chairman and has the following contact phone number (360) 825-7500.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 11/29/2007.

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
1261QA1903XClinic/CenterAmbulatory SurgicalFX00057007WASHINGTONYes

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 Other Provider Identifier Issuer
1GAB23305MEDICARE PINWASHINGTON

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: 3/30/2025

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