Dba: Gateway Surgery Center

LBN: Western Washington Medical Group, Inc, Ps
Dba: Gateway Surgery Center is an health care organization with primary practice located at 3726 Broadway Suite 206 , Everett WA 98201-3787. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Western Washington Medical Group, Inc, Ps can be contacted via phone (425) 374-5160, or through Sullivan, Kathline H. via phone (425) 374-5176.

Contact Information

Primary practice address
3726 Broadway Suite 206 Everett WA 98201-3787
Phone: (425) 374-5160
Fax: (425) 374-5161
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Kathline H.
Phone: (425) 374-5176

Health care specialties

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

Profile Details

NPI number 1013138536
LBN Legal business name Western Washington Medical Group, Inc, Ps
DBA Doing business as Dba: Gateway Surgery Center
Authorized official Sullivan, Kathline H.
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Oct 29th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013138536 NPPES
Washington MEDICAID 7139009

Popular Providers