NPIMap

Organization Active NPI

Inland Northwest Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1467637116
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
601 706 837 Issued in WA
Legal business name
INLAND NORTHWEST SURGERY CENTER PLLC
Practice address
526 N Mullan Rd
Ste. a
Spokane Valley, WA 99206-2408
Phone
(509) 924-2600
Fax
(509) 926-9865
NPI assigned
Dec 31, 2007
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Dr. Thomasin K HammerNPI 1528129798
Title
Medical Director
Phone
(509) 924-2600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 601 706 837 WA Primary

Addresses

Primary practice location

526 N Mullan Rd
Ste. a
Spokane Valley, WA 99206-2408

Mailing address

526 N Mullan Rd
Ste. a
Spokane Valley, WA 99206-2408
Phone (509) 924-2600

Other identifiers 1

IdentifierTypeStateIssuer
7081110MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001108 WA Part B Supplier - Ambulatory Surgical Center 0648169094 Receives reassigned benefits from 3 practitioners
Practice locations: Spokane Valley, 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
Inland Northwest Surgery Center PLLCCCN 50C0001137
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Inland NW Surgery Ctr PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1467637116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N MULLAN RD",
            "address_2": "STE. A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992062408",
            "telephone_number": "509-924-2600",
            "fax_number": "509-926-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MULLAN RD",
            "address_2": "STE. A",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992062408",
            "telephone_number": "509-924-2600",
            "fax_number": "509-926-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND NORTHWEST SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "THOMASIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "509-924-2600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "601 706 837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7081110",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.