NPIMap

Organization Active NPI

The Vancouver Clinic Inc PS

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
National Provider Identifier
1306556907
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE VANCOUVER CLINIC INC PS
Practice address
2529 NE 139TH St
Vancouver, WA 98686-2719
Phone
(360) 882-2778
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Alfred Seekamp, MDNPI 1346288511
Title
Cmo
Phone
(360) 882-2778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Pain Clinic/Center 261QP3300X
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

2529 NE 139TH St
Vancouver, WA 98686-2719

Mailing address

700 NE 87TH Ave
Vancouver, WA 98664-4896
Phone (360) 882-2778

Other names 1

  • Salmon Creek 2 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
O20230110000984 WA Part B Supplier - Ambulatory Surgical Center 3173436490 Receives reassigned benefits from 4 practitioners
Practice locations: Vancouver, WA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Vancouver Clinic Inc PS Dba Salmon Creek 2 Ambulatory Surgery CenterCCN 50C0001340
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
50D2269829Vancouver Clinic -Salmon Creek II2529 NE 139TH St, Vancouver, WA 98686ComplianceApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Vancover Clinic Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11211 SE 82nd Ave
Ste Z
Happy Valley, OR 97086
Phone (971) 432-7555

1200 NE Broadway St
Ste 20
Portland, OR 97232
Phone (971) 432-7555

4500 SE Columbia Palisades Dr
Camas, WA 98607

7809 NE Vancouver Plaza Dr
Ste 110
Vancouver, WA 98662

709 NE 136th Ave
Vancouver, WA 98684

8040 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 822-2778

2529 NE 139th St
Vancouver, WA 98686
Phone 3608822778 ext. 67386

2101 NE 139th St
Ste 220
Vancouver, WA 98686
Phone (360) 397-3390

14019 NE 10th Ave
Ste 620
Vancouver, WA 98685
Phone (360) 397-3352

505 NE 87th Ave
#200350
Vancouver, WA 98664

16811 SE McGillivray Blvd
Ste 200
Vancouver, WA 98683
Phone (360) 604-1700

2101 NE 139th St
Ste 100
Vancouver, WA 98686
Phone (360) 397-3390

291 C St
Unit 110
Washougal, WA 98671

Practitioners & affiliated clinicians

Practitioners 753

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

View all 753

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1306556907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644896",
            "telephone_number": "360-882-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 NE 139TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862719",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VANCOUVER CLINIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "SEEKAMP",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "360-882-2778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon Creek 2 Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.