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Contact Information

LONGVIEW SURGICAL GROUP
1615 DELAWARE ST
SUITE 200
LONGVIEW, WA98632
 Phone: 360-501-3500
 Fax: 360-501-3555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LONGVIEW SURGICAL GROUP

NPI Number 1851307078
LBN Legal business name LONGVIEW SURGICAL GROUP
Authorized official DENISE SMITH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA Medicaid 7715501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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