Organization
HARBOR SURGICAL ASSOCIATES, INC., P.S.
Active
Parent organization
HARBOR SURGICAL ASSOCIATES INC PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBOR SURGICAL ASSOCIATES INC PS
Authorized official
DR. JURIS M MACS M. D. (PRESIDENT)
(360) 537-6414
Entity
Organization
Contact information
Practice address
1006 N H ST, 5TH FLOOR, ABERDEEN, WA 98520-2521
(360) 537-6414
(360) 532-6878
Mailing address
1006 N H ST, 5TH FLOOR, ABERDEEN, WA 98520-2521
(360) 537-6414
(360) 532-6878
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00010490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000800078
MEDICARE PROVIDER
WA
01
—
0012648
LI PROVIDER NUMBER
WA
01
—
0154469
LI GROUP NUMBER
WA
01
—
022161238
MEDICARE RR PROVIDER
WA
01
—
115141600
MEDICARE GROUP
WA
05
—
1532605
—
WA
01
—
335846100
US DEPT OF LABOR
WA
05
—
7077316
—
WA
01
—
8914472
CRIME VICTIMS
WA
01
—
A0003
TRICARE
WA
01
—
DC4850
RR MEDICARE
WA
01
—
MA1607
COUNTY
WA
Enumeration date
03/17/2006
Last updated
10/02/2013
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