Good Samaritan Surgery Center Llc

LBN: Good Samaritan Surgery Center Llc
Good Samaritan Surgery Center Llc is an health care organization with primary practice located at 1322 3Rd St Se 100, Puyallup WA 98372-3771. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Good Samaritan Surgery Center Llc can be contacted via phone (253) 697-5700, or through Kasman, Glenn via phone (253) 697-2074.

Contact Information

Primary practice address
1322 3Rd St Se 100 Puyallup WA 98372-3771
Fax: (253) 840-2352
Website:
Authorized official contact:
Name: Kasman, Glenn

Health care specialties

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

Profile Details

NPI number 1841286101
LBN Legal business name Good Samaritan Surgery Center Llc
DBA Doing business as
Authorized official Kasman, Glenn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1841286101 NPPES
Washington MEDICAID 7030638

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