Proliance Hillside Medical Surgery Center

LBN: Proliance Surgeons Inc Ps
Proliance Hillside Medical Surgery Center is an health care organization with primary practice located at 104 27Th Ave Se , Puyallup WA 98374-1145. 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 Ps can be contacted via phone (253) 770-9000, or through Pleasant, Cori M. via phone (206) 838-2585.

Contact Information

Primary practice address
104 27Th Ave Se Puyallup WA 98374-1145
Phone: (253) 770-9000
Fax: (253) 770-9712
Website:
Map and Directions
Authorized official contact:
Name: Pleasant, Cori M.
Phone: (206) 838-2585

Health care specialties

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

Profile Details

NPI number 1780610220
LBN Legal business name Proliance Surgeons Inc Ps
DBA Doing business as Proliance Hillside Medical Surgery Center
Authorized official Pleasant, Cori M.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Dec 6th, 2023 - about last year

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 1780610220 NPPES
Other 352494 WA LABOR & INDUSTRIES
MEDICAID 2068005 WA LABOR & INDUSTRIES

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