Provider Demographics
NPI:1326571845
Name:WASHINGTON OUTPATIENT SURGERY CENTER
Entity Type:Organization
Organization Name:WASHINGTON OUTPATIENT SURGERY CENTER
Other - Org Name:NAPA VALLEY SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TREVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-406-9731
Mailing Address - Street 1:3435 VALLE VERDE DR STE C
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2408
Mailing Address - Country:US
Mailing Address - Phone:707-266-6420
Mailing Address - Fax:
Practice Address - Street 1:3435 VALLE VERDE DR STE C
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2408
Practice Address - Country:US
Practice Address - Phone:707-266-6420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical