PROLIANCE SURGERY CENTER AT VALLEY, LLC – NPI #1356965750
Clinic/Center

PROLIANCE SURGERY CENTER AT VALLEY, LLC is an AHC clinic located in RENTON, WA. NPPES has assigned the NPI number 1356965750 to PROLIANCE SURGERY CENTER AT VALLEY, LLC on June 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on Aug 20, 2021. 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 PROLIANCE SURGERY CENTER AT VALLEY, LLC below.

NPI Profile for
PROLIANCE SURGERY CENTER AT VALLEY, LLC

NPI Number
1356965750
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROLIANCE SURGERY CENTER AT VALLEY, LLC
Primary location
4009 TALBOT ROAD S
SUITE 200
RENTON, WA 98055
Phone: (425) 226-2041 Fax: (425) 226-2402
Mailing address
4011 TALBOT RD S STE 300
RENTON, WA 98055-5791
Phone: (425) 226-2041 Fax: (425) 226-2402
Organization Subpart
No
Authorized Official
PEGGY WELLMAN
VP ASC OPERATIONS
Phone: (206) 838-3767
Updated
Certification Date
Aug 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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)

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.