Evergreen Endoscopy Center

LBN: Puget Sound Gastroenterology, Pllc
Evergreen Endoscopy Center is an health care organization with primary practice located at 11800 Ne 128Th St Suite 100, Kirkland WA 98034-7208. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Puget Sound Gastroenterology, Pllc can be contacted via phone (425) 899-4500, or through Hernandez, Eugenio J via phone (786) 205-3464.

Contact Information

Primary practice address
11800 Ne 128Th St Suite 100 Kirkland WA 98034-7208
Phone: (425) 899-4500
Fax: (425) 899-4510
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Eugenio J
Phone: (786) 205-3464

Health care specialties

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

Profile Details

NPI number 1447212337
LBN Legal business name Puget Sound Gastroenterology, Pllc
DBA Doing business as Evergreen Endoscopy Center
Authorized official Hernandez, Eugenio J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 13th, 2019 - about 5 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 1447212337 NPPES
Washington Other 0155305 LABOR AND INDUSTRIES
Washington MEDICAID 1044235 LABOR AND INDUSTRIES

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