# SPOKANE SURGERY CENTER LTD PS

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902864879
- **Authorized official:** MR. STEWART PUGMIRE BRIM DPM (OWNER PRESIDENT)
- **Authorized official phone:** (509) 928-1990

## Contact information

- **Practice address:** 12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
- **Practice address phone:** (509) 928-1990
- **Practice address fax:** (509) 928-2933
- **Mailing address:** 12109 E BROADWAY AVE STE C, SPOKANE VALLEY, WA 99206-6133
- **Mailing address phone:** (509) 928-1990
- **Mailing address fax:** (509) 928-2933

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 12/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 117682 | LABOR & INDUSTRY | WA |
| 01 | — | 490000540 | RAILROAD MEDICARE | WA |
| 05 | — | 7087760 | — | WA |