PROLIANCE SURGEONS INC. P.S. NPI 1194727883

NPI Information

NPI: 1194727883
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE PUGET SOUND SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
7308 BRIDGEPORT WAY W STE 102
LAKEWOOD, WA
ZIP 98499
Phone: (253) 584-5252
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PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Lakewood, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1194727883. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Puget Sound Surgery Center.

The provider's business location address is:

7308 BRIDGEPORT WAY W STE 102
LAKEWOOD, WA
ZIP 98499-000
Phone: (253) 584-5252
Fax: (253) 582-1617

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Del Cred & Enrollment Manager and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 12/6/2023.

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	601484763	WASHINGTON	Yes

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
1	1043206	MEDICAID	WASHINGTON
2	223794	OTHER	WASHINGTON	WA LABOR & INDUSTRIES
3	612815300	OTHER		OWCP

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: 5/5/2024

NPI Synchronization or Removal

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