Evergreen Surgical Clinic Ambulatory Surgery Center

LBN: Proliance Surgeons, Inc., P.S.
Evergreen Surgical Clinic Ambulatory Surgery Center is an health care organization with primary practice located at 12333 Ne 130Th Ln Suite 420, Kirkland WA 98034-7467. 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 (425) 899-5500, or through Fitzgerald, David G. via phone (206) 838-2599.

Contact Information

Primary practice address
12333 Ne 130Th Ln Suite 420 Kirkland WA 98034-7467
Phone: (425) 899-5500
Fax: (425) 899-5529
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, David G.
Phone: (206) 838-2599

Health care specialties

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

Profile Details

NPI number 1952340036
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Evergreen Surgical Clinic Ambulatory Surgery Center
Authorized official Fitzgerald, David G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 7th, 2011 - about 14 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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