OLYMPIC PLASTIC SURGERY SUITE – NPI #1467578393
Clinic/Center

OLYMPIC PLASTIC SURGERY SUITE is an AHC clinic located in BREMERTON, WA. NPPES has assigned the NPI number 1467578393 to OLYMPIC PLASTIC SURGERY SUITE on March 22, 2007. 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 17 years ago on Jul 27, 2009. 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 OLYMPIC PLASTIC SURGERY SUITE below.

NPI Profile for
OLYMPIC PLASTIC SURGERY SUITE

NPI Number
1467578393
Enumeration Date

(more than 19 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
OLYMPIC PLASTIC SURGERY SUITE
Primary location
2600 CHERRY AVENUE
SUITE 201
BREMERTON, WA 98310
Phone: (360) 415-0762 Fax: (360) 792-1166
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUZANNE FLETCHER
ADMINISTRATOR
Phone: (360) 415-0762
Updated
Identifiers

Identifiers for OLYMPIC PLASTIC SURGERY SUITE

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.

DescriptionIssuerStateIdentifier
OTHERL & IWA55649
MEDICAIDWA7041791
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.