Evergreen Surgical Center

LBN: Evergreen Surgery Center, Llc
Evergreen Surgical Center is an health care organization with primary practice located at 12333 Ne 130Th Ln Suite 500, Kirkland WA 98034-7467. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Evergreen Surgery Center, Llc can be contacted via phone (425) 899-5656, or through Tomlin, Jeff via phone (425) 899-5656.

Contact Information

Primary practice address
12333 Ne 130Th Ln Suite 500 Kirkland WA 98034-7467
Phone: (425) 899-5656
Fax: (425) 899-5638
Website:
Map and Directions
Authorized official contact:
Name: Tomlin, Jeff Doctor of Medicine (MD)
Phone: (425) 899-5656

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Washington

Profile Details

NPI number 1689655334
LBN Legal business name Evergreen Surgery Center, Llc
DBA Doing business as Evergreen Surgical Center
Authorized official Tomlin, Jeff Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689655334 NPPES
Washington MEDICAID 7123631

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