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Contact Information

TACOMA ENDOSCOPY CENTER
1112 6TH AVE
200
TACOMA, WA98405-4040
 Phone: 253-272-8664
 Fax: 253-404-1352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for TACOMA ENDOSCOPY CENTER

NPI # 1144297003
LBN Legal business name TACOMA ENDOSCOPY CENTER
Authorized official JOHN CARROUGHER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2006
Last updated 01/14/2011 - About 15 years ago
Identifiers
WA License # ASF.FS.60099979
WA License # FX00056070
WA Medicaid 7065394
Other TA2834 REGENCE
WA Other 77687 LABOR & INDUSTRIES
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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