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1386113090 NPI number — SURGERY CENTER OF MT. SCOTT, LLC

NPI Number: 1386113090
Health Care Provider/Practitioner: SURGERY CENTER OF MT. SCOTT, LLC

Information about “1386113090” NPI (SURGERY CENTER OF MT. SCOTT, LLC) exists in 1386113090 in HTML format HTML  |  1386113090 in plain Text format TXT  |  1386113090 in PDF (Portable Document Format) PDF  |  1386113090 in an XML format XML  formats.

NPI Number : 1386113090 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386113090",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SURGERY CENTER OF MT. SCOTT, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9300 SE 91ST AVE STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAPPY VALLEY",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97086-3762",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-808-1559",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9300 SE 91ST AVE STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAPPY VALLEY",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97086-3762",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-808-1559",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/26/2018",
    "LastUpdateDate": "11/26/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COLLINS",
    "AuthorizedOfficialFirstName": "KINESHIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CORPORATE PARALEGAL",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "205-263-7863",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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