CASCADE UROLOGY SURGERY CENTER NPI 1780722819

NPI Information

  • NPI: 1780722819
  • Provider Name: CASCADE UROLOGY SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 340 BIRCHWOOD AVE
    BELLINGHAM, WA
    ZIP 98225
  • Phone: (360) 676-2749

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NPI Details

CASCADE UROLOGY SURGERY CENTER is an ambulatory surgical clinic center in Bellingham, WA. CASCADE UROLOGY SURGERY CENTER NPI is 1780722819. The provider is registered as an organization entity type.

The provider's business location address is:

340 BIRCHWOOD AVE
BELLINGHAM, WA
ZIP 98225-782
Phone: (360) 676-2749
Fax: (360) 676-7730

The provider's authorized official is John Mark Pettit .
The authorized official title is Owner and has the following contact phone number (360) 676-2749.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 11/30/2007.

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 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17108632MEDICAIDWASHINGTON
2GAB21476MEDICARE PINWASHINGTON
3GAB21476MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
4AB21476MEDICARE 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: 11/21/2025

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