SOUTHLAKE CLINIC INC PS – NPI #1043368426
Clinic/Center
SOUTHLAKE CLINIC INC PS is an AHC clinic located in RENTON, WA. NPPES has assigned the NPI number 1043368426 to SOUTHLAKE CLINIC INC PS on January 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 14 years ago on Nov 20, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHLAKE CLINIC INC PS below.
NPI Profile for
SOUTHLAKE CLINIC INC PS
(more than 19 years ago)
SUITE 500
RENTON, WA 98055 Phone: (425) 251-5110 Fax: (425) 793-4710
RENTON, WA 98058-2028 Phone: (425) 251-5110 Fax: (425) 793-7458
DIRECTOR OF OPERATIONS
Phone: (425) 251-5110
Identifiers for SOUTHLAKE CLINIC INC PS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | L&I | WA | 0119463 |
| OTHER | RAILROAD MEDICARE | WA | 490003337 |
| MEDICAID | WA | 7083660 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
WA | FS.60293976 |
| 261QE0800X - Clinic/Center / Endoscopy |
WA | FS.60293976 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.