OPTUM CARE WASHINGTON PLLC – NPI #1366154304
Clinic/Center

OPTUM CARE WASHINGTON PLLC is an AHC clinic located in ARLINGTON, WA. NPPES has assigned the NPI number 1366154304 to OPTUM CARE WASHINGTON PLLC on December 21, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. OPTUM CARE WASHINGTON PLLC is also known by the name OPTUM - HELEN HOLM PUMPHREY SURGERY CENTER. 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 2 years ago on Apr 09, 2024. 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 OPTUM CARE WASHINGTON PLLC below.

NPI Profile for
OPTUM CARE WASHINGTON PLLC

NPI Number
1366154304
Enumeration Date

(more than 3 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
OPTUM CARE WASHINGTON PLLC
Other Name: OPTUM - HELEN HOLM PUMPHREY SURGERY CENTER
Primary location
4011 172ND ST NE
ARLINGTON, WA 98223
Phone: (360) 454-1900 Fax:
Mailing address
PO BOX 5127
EVERETT, WA 98206-5127
Phone: (425) 339-5408 Fax:
Organization Subpart
Yes - OPTUM CARE WASHINGTON PLLC is subpart of another organization.
Authorized Official
GEORGE GO
BOARD PRESIDENT
Phone: (425) 259-0966
Updated
Certification Date
Apr 09, 2024

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)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.