Lower Columbia Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LOWER COLUMBIA AMBULATORY SURGERY CENTER

Practice address

820 11TH Ave
Longview, WA 98632-2402

Phone

(360) 423-0960

Fax

(360) 423-8778

NPI assigned

Jun 8, 2006

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Ierokomos, MD

Title

Owner

Phone

(360) 423-0960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1710927553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322402",
            "telephone_number": "360-423-0960",
            "fax_number": "360-423-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322402",
            "telephone_number": "360-423-0960",
            "fax_number": "360-423-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER COLUMBIA AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "IEROKOMOS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-423-0960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longview VA Clinic
• Sergio Lopez, R-AAC, CPSST
• Catherine Lord
• Robert Michael Loren
• Loveland Audiology
• Lower Columbia Community Action Council, Inc. (Lower Columbia CAP)
• Lower Columbia Eye Clinic Inc PS
• Lower Columbia Eye Clinic Inc PS
• Lower Columbia Head & Neck Associates PC
• Lower Columbia Oral Health

• Ambulatory Surgical Clinic/Center in Longview, WA
• Providers in Longview, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.