# PLASTIC SURGICENTRE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Plastic SurgiCentre, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083780662
- **Authorized official:** MS. SANDRA CONNER (REVENUE CYCLE MANAGER)
- **Authorized official phone:** (509) 321-4110

## Contact information

- **Practice address:** 535 S PINE ST, SPOKANE, WA 99202-1347
- **Practice address phone:** (509) 623-2160
- **Practice address fax:** (509) 623-1135
- **Mailing address:** 535 PINE ST S, SPOKANE, WA 99202-1347
- **Mailing address phone:** (509) 623-2160
- **Mailing address fax:** (509) 623-1135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | L0712575 | WA | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 07/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7059363 | — | WA |