Organization
VIRGINIA MASON MEDICAL CENTER
Active
Parent organization
VIRGINIA MASON MEDICAL CENTER
Other names
VIRGINIA MASON ISSAQUAH ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA MASON MEDICAL CENTER
Authorized official
MONICA HILT (PRESIDENT)
(206) 341-1208
Entity
Organization
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
H-010
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005240
RAILROAD MC #
WA
05
—
7070220
—
WA
Enumeration date
02/05/2007
Last updated
08/07/2024
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