SITTILERK TRIKALSARANSUKH

Provider Demographics

• NPI: 1093728800
• Name: SITTILERK TRIKALSARANSUKH
• Entity Type: Organization
• Organization Name: SITTILERK TRIKALSARANSUKH
• Other - Org Name: TRI-CITIES ENDOSCOPY CENTER, PLLC
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: ADMINISTRATIVE DIRECTOR
• Authorized Official - First Name: JANE
• Authorized Official - Middle Name: M
• Authorized Official - Last Name: SILVEY
• Authorized Official - Phone: 509-734-4885
• Mailing Address - Street 1: 7114 W HOOD PL
• Mailing Address - City: KENNEWICK
• Mailing Address - State: WA
• Mailing Address - Zip Code: 99336-6712
• Mailing Address - Country: US
• Mailing Address - Phone: 509-734-4885
• Mailing Address - Fax: 509-734-2576
• Practice Address - Street 1: 7114 W HOOD PL
• Practice Address - City: KENNEWICK
• Practice Address - State: WA
• Practice Address - Zip Code: 99336-6712
• Practice Address - Country: US
• Practice Address - Phone: 509-734-4885
• Practice Address - Fax: 509-734-2576
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-08-14
• Last Update Date: 2010-03-09

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261QE0800X	Ambulatory Health Care Facilities	Clinic/Center	Endoscopy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WA	1087543	Medicaid
WA	5980382	Other	AETNA SITTI MD
WA	6500TR	Other	ASURIS GROUP NUMBER
WA	7527172	Other	AETNA GROUP NUMBER
WA	1017VA	Other	ASURIS VONG MD
WA	7107584	Medicaid
WA	7605381	Other	AETNA VONG MD
WA	7105778	Medicaid
WA	8428732	Medicaid
WA	3860TR	Other	ASURIS SITTI MD
WA	AB23110	Medicare ID - Type Unspecified	SITTI MD
WA	8428732	Medicaid
WA	AB17565	Medicare ID - Type Unspecified	FACILITY NUMBER
WA	7605381	Other	AETNA VONG MD
WA	6500TR	Other	ASURIS GROUP NUMBER
WA	5980382	Other	AETNA SITTI MD
WA	E87464	Medicare UPIN
WA	CH9005	Medicare ID - Type Unspecified	RAILROAD MC GROUP NUMBER
WA	8855676	Medicare ID - Type Unspecified	VONG MD
WA	7105778	Medicaid