Organization Active NPI

Whatcom ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
National Provider Identifier
1164527933
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WHATCOM ASC LLC
Practice address
2075 Barkley Blvd Ste 101
Bellingham, WA 98226-6734
Phone
(360) 671-6933
Fax
(360) 671-0196
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Peggy S. Wellman
Title
Cao, Board Member
Phone
(206) 838-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2075 Barkley Blvd Ste 101
Bellingham, WA 98226-6734

Mailing address

2075 Barkley Blvd Ste 101
Bellingham, WA 98226-6734
Phone (360) 671-6933

Other names 1

  • Bellingham Ambulatory Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117000689 WA Part B Supplier - Ambulatory Surgical Center 7517495609 Practice locations: Bellingham, WA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Northwest Ambulatory Surgery Services LLC Dba Bellingham Ambulatory Surgery CenterCCN 50C0001189
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2050923Bellingham Ambulatory Surgery Center2075 Barkley Blvd Ste 101, Bellingham, WA 98226Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2075 Barkley Blvd
Bellingham, WA 98226
Phone (360) 671-3345

2075 Barkley Blvd
Ste 101
Bellingham, WA 98226
Phone (360) 527-2522

4029 Northwest Ave
Ste 101
Bellingham, WA 98226
Phone (360) 752-0518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1164527933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266734",
            "telephone_number": "360-671-6933",
            "fax_number": "360-671-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266734",
            "telephone_number": "360-671-6933",
            "fax_number": "360-671-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHATCOM ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CAO, BOARD MEMBER",
        "authorized_official_telephone_number": "206-838-3767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellingham Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.