ACTIVE FOOT AND ANKLE CENTER; NPI #1487808960

Contact Information

ACTIVE FOOT AND ANKLE CENTER

1545 NE 65TH ST
SEATTLE, WA 98115-6800

Phone: 425-868-8287
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ACTIVE FOOT AND ANKLE CENTER

NPI Number 1487808960

LBN Legal business name ACTIVE FOOT AND ANKLE CENTER

Authorized official HOWARD ROTH - (OWNER/MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/10/2008

Last updated 11/12/2008 - About 18 years ago

Identifiers

License #

145

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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