Organization Name:  NORTH KITSAP AMBULATORY SURGERY CENTER, LLC


Practice Location:
20669 BOND RD NE SUITE 200 POULSBO, WA 98370 US
Tel: 360-779-6527  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	261QA1903X	Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical	WA	600558138

Other Provider Identifiers:

Issuer	Number	State	Type
	7009293	WA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin