Active NPI
Lurch Surgical
- General Acute Care Hospital
- Bellingham, WA
National Provider Identifier
1861820680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- MD00045866
- Legal business name
- LURCH SURGICAL
- Practice address
- 2580 Lake Whatcom Blvd
Bellingham, WA 98229-2721 - Phone
- (360) 855-7025
- Fax
- (360) 588-6928
- NPI assigned
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Miller, MD
- Title
- Owner/Manager
- Phone
- (360) 855-7025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | MD00045866 | WA | Primary |
Addresses
Primary practice location
2580 Lake Whatcom Blvd
Bellingham, WA 98229-2721
Mailing address
2580 Lake Whatcom Blvd
Bellingham, WA 98229-2721
Phone (360) 855-7025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8453367 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1861820680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 LAKE WHATCOM BLVD",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292721",
"telephone_number": "360-855-7025",
"fax_number": "360-588-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 LAKE WHATCOM BLVD",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292721",
"telephone_number": "360-855-7025",
"fax_number": "360-588-6928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LURCH SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "360-855-7025",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "WA",
"license": "MD00045866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8453367",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.