Proliance Puget Sound Surgery Center

LBN: Proliance Surgeons, Inc., P.S.
Proliance Puget Sound Surgery Center is an health care organization with primary practice located at 7308 Bridgeport Way W Ste 102 , Lakewood WA 98499-8000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (253) 584-5252, or through Pleasant, Cori M. via phone (206) 838-2585.

Contact Information

Primary practice address
7308 Bridgeport Way W Ste 102 Lakewood WA 98499-8000
Fax: (253) 582-1617
Website:
Authorized official contact:
Name: Pleasant, Cori M.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 601484763 Washington

Profile Details

NPI number 1194727883
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Proliance Puget Sound Surgery Center
Authorized official Pleasant, Cori M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 11th, 2005
Last updated Dec 6th, 2023 - about 2 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 1194727883 NPPES
Washington MEDICAID 1043206
Washington Other 223794
Washington Other 612815300

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