| Surgical Associates Northwest, Pc | |
|
34612 6th Ave S Suite 100 Federal Way WA 98003-6704 | |
| (253) 661-2594 | |
| Not Available |
| Full Name | Surgical Associates Northwest, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 34612 6th Ave S, Federal Way, Washington |
| Authorized Official Name and Position | Pamela Stanfill (BILLING MANAGER) |
| Authorized Official Contact | 2536612594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Associates Northwest, Pc 34612 6th Ave S Suite 100 Federal Way WA 98003-6704 Ph: (253) 661-2594 | Surgical Associates Northwest, Pc 34612 6th Ave S Suite 100 Federal Way WA 98003-6704 Ph: (253) 661-2594 |
| NPI Number | 1629016555 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 3971596024 |
|---|---|
| Medicare Enrollment ID | O20051229000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629016555 | NPI | - | NPPES |
| 7134158 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | MD00013065 (Washington) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (Washington) | Primary |
| Provider Name | Richard B Johnston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477839066 PECOS PAC ID: 0345406518 Enrollment ID: I20120717000333 |
Pacmed Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31833 Gateway Center Blvd S, Federal Way, WA 98003 Phone: 253-214-1920 | |
Adult Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33650 6th Ave S, Suite 100, Federal Way, WA 98003 Phone: 253-942-3306 Fax: 253-815-8805 | |
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