LONGVIEW SURGICAL CENTER LLC (NPI# 1750481453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750481453 |
| Entity Type | Organization |
| Organization Name | LONGVIEW SURGICAL CENTER LLC |
| Other Organization Name | PACIFIC SURGICAL CENTER |
| Practice Address |
625 9th Ave Suite #110 Longview WA 98632 |
| Mailing Address |
625 9th Ave Ste 110 Longview WA 98632-2465 |
| Practice Telephone | 3604427900 |
| Practice Fax Number | 3604427901 |
| Mailing Telephone | 3604427913 |
| Mailing Fax Number | 3604427901 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MRS. JENNIFER L MYERS (DIRECTOR OF CLIENT SERVICES) |
| Authorized Official Telephone | 3604427913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
602313328 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific Surgical Center | Doing Business As Name - Organization |
| Street Address |
625 9TH AVE SUITE #110 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632919 | Patrick M Lassen | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2005-07-07 |
| 1356640312 | Brittney Higa | Physical Therapist | 625 9th Ave, Suite 220, Longview, WA 98632-2464 | 2011-03-16 |
| 1891012316 | Providence Health & Services - Oregon | Clinic/Center | 625 9th Ave, Suite 120, Longview, WA 98632-2465 | 2010-04-23 |
| 1043414741 | Tony C Lin | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2464 | 2007-06-14 |
| 1063623429 | Aaron C Varney | Occupational Therapist | 625 9th Ave, Suite 220, Longview, WA 98632 | 2007-05-25 |
| 1588688402 | John Thomas Mansfield | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2006-07-26 |
| 1366492795 | David Maligro | Physician Assistant | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-05-10 |
| 1245205228 | David Michael Black | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-02-22 |
| 1225003213 | William Taylor Turner | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-02-22 |
| 1891760211 | Bruce Gragg Blackstone | Orthopaedic Surgery | 625 9th Ave, Suite 210, Longview, WA 98632-2465 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407356561 | Christus Good Shepherd Medical Center | Clinic/Center | 703 E Marshall Ave Ste 2000, Longview, TX 75601-5500 | 2018-02-15 |
| 1194708024 | Longview Physicians Surgical Center | Clinic/Center | 1404 N 4th St, Longview, TX 75601-4756 | 2005-11-23 |
| 1629213079 | Good Shepherd Ambulatory Surgical Center | Clinic/Center | 703 E Marshall Ave, Suite 2000, Longview, TX 75601-5500 | 2008-12-12 |
| 1710927553 | Lower Columbia Ambulatory Surgery Center | Clinic/Center | 820 11th Ave, Longview, WA 98632-2402 | 2006-06-08 |
| 1255317384 | Good Shepherd Ambulatory Surgical Center Ltd | Clinic/Center | 703 E Marshall Ave, Suite 2000, Longview, TX 75601-5500 | 2005-12-20 |
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| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.