Providence Surgery Center, Pacific Campus

LBN: Providence Health & Services-Washington
Providence Surgery Center, Pacific Campus is an health care organization with primary practice located at 916 Pacific Ave Ste 110 , Everett WA 98201-4147. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Providence Health & Services-Washington can be contacted via phone (425) 261-2000, or through Boon, Eric via phone (480) 567-0269.

Contact Information

Primary practice address
916 Pacific Ave Ste 110 Everett WA 98201-4147
Phone: (425) 261-2000
Fax: (425) 261-4051
Website:
Map and Directions
Authorized official contact:
Name: Boon, Eric
Phone: (480) 567-0269

Health care specialties

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

Profile Details

NPI number 1588294854
LBN Legal business name Providence Health & Services-Washington
DBA Doing business as Providence Surgery Center, Pacific Campus
Authorized official Boon, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2020
Last updated Aug 23rd, 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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