Kaiser Foundation Health Plan of Washington
Organization Active NPI Ambulatory Surgical Clinic/Center · Tacoma, WA
NPI 1336265263 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1336265263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
- Practice address
- 209 Martin Luther King Jr Way
Tacoma, WA 98405-4265 - Phone
- (253) 596-3640
- Fax
- (253) 596-3301
- NPI assigned
- Mar 22, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- GROUP HEALTH COOPERATIVE
Authorized official
- Name
- Michelle Barlow
- Title
- Manager
- Phone
- (509) 241-7343
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 24
Member of 1
Member organizations 1
Practitioners 2
-
Janelle Elizabeth Becker, PA-C
-
Margaret C Harrison, PA-C
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Tacoma Ambulatory Surgery Center
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080730000228 | WA | Part B Supplier - Ambulatory Surgical Center | 9032022579 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bellevue, WA; Tacoma, WA |
National Provider Directory
- Tax ID family
- Hear Center Olympia
- Part of
- Hear Center Olympia
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 50C0001048 | WA | |
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other names
- Tacoma Ambulatory Surgery Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Other providers in Tacoma, WA
- Kaipuokaualoku, LLC
- Laura Sharon Kairuz
- Kenneth K Kais
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
All providers in Tacoma, WA · Ambulatory Surgical Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.