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FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS NPI 1699846386


NPI Information

NPI: 1699846386
Provider Name: FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS

Doing Business As: CASCADE OUTPATIENT SPINE CENTER

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 50D2110897

Address:
710 BIRCHWOOD AVE
#101
BELLINGHAM, WA
ZIP 98225
Phone: (360) 676-0922
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FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS is a neurological surgery in Bellingham, WA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS NPI is 1699846386. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cascade Outpatient Spine Center.

The provider's business location address is:

710 BIRCHWOOD AVE
#101
BELLINGHAM, WA
ZIP 98225-720
Phone: (360) 676-0922
Fax: (360) 671-4726

The provider's authorized official is Thomas Richard Flory .
The authorized official title is EXECUTIVE DIRECTORDirector and has the following contact phone number (360) 319-8615.

The CLIA number assigned to this NPI record is 50D2110897 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/5/2022.


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
1174400000XSpecialistNo
2207LP2900XAnesthesiologyPain MedicineNo
3207T00000XNeurological SurgeryWASHINGTONYes

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

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