Evergreen Surgery Center, Llc in Kirkland - Ambulatory Surgical
Evergreen Surgery Center, Llc - NPI 1689655334
Evergreen Surgery Center, Llc is a Ambulatory Surgical in Kirkland, Washington. Evergreen Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Evergreen Surgery Center, Llc is 1689655334. The last update date is 2007-09-20.
Evergreen Surgery Center, Llc's current location address is 12333 Ne 130th Ln, Kirkland, Washington. You can contact this provider via phone number 4258995656 and fax number 4258995638. The mailing address for Evergreen Surgery Center, Llc is 12333 Ne 130th Ln, Kirkland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Surgery Center, Llc |
|---|---|
| Address | 12333 Ne 130th Ln, Kirkland, Washington |
| Phone Number | 4258995656 |
| Fax Number | 4258995638 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Tomlin Jeff |
| Credentials | M.D. |
| Telephone Number | 4258995656 |
NPI Number Detail
| NPI Number | 1689655334 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 12333 Ne 130th Ln |
|---|---|
| City | Kirkland |
| State | Washington (WA) |
| Post Code | 980347467 |
| Phone Number | 4258995656 |
| Fax Number | 4258995638 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7123631 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Surgery Center, Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1689655334 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evergreen Surgery Center, Llc?
The Evergreen Surgery Center, Llc is physically situated at 12333 Ne 130Th Ln, in the city of Kirkland, state of WA, with the postal code 980347467.
What is the Evergreen Surgery Center, Llc's area of specialization and corresponding taxonomy classification?
The Evergreen Surgery Center, Llc's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
On what date did the Evergreen Surgery Center, Llc receive its 1689655334 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Surgery Center, Llc was assigned its 1689655334 by the Centers for Medicare & Medicaid Services on 2005-11-09.
When was the information regarding Evergreen Surgery Center, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Surgery Center, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-20.
NPI Number: 1932102142
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